ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons
Benefit of Laparoendoscopic Repair of Hiatal Hernia in the Presence of Aberrant Left Hepatic Artery.
Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectivesAn aberrant left hepatic artery (ALHA) limits the already confined operative field of laparoscopic antireflux surgery (LARS) and laparoscopic hiatal hernia repair (LHHR). The aim of this study is to provide a safe laparoendoscopic technique for hiatal hernia repair in the presence of an ALHA.
methodsWe conducted a retrospective chart review of patients who underwent LARS or LHHR between March 2016 and March 2018. We reviewed clinical and laboratory data and operative reports and images. Follow-up data included gastroesophageal reflux disease (GERD) questionnaire results and the results of esophagogastroduodenoscopy (EGD) and upper gastrointestinal studies.
resultsOne hundred thirty-one LARS and LHHR procedures were performed by a single surgeon. Eight (6.1%) patients had an ALHA. There were 6 female and 2 male patients. The average age was 54.5 (±10.4) years, and the average body mass index was 28.1 (±5.5) kg/m
conclusionThe laparoendoscopic technique of hiatal hernia repair, using extracorporeal arthroscopic sliding knots and concomitant transoral incisionless fundoplication, is safe, preserves an ALHA, and allows proper surgical techniques in a confined operative field.
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