ArticleSurgical endoscopy2020
Post-operative complications and readmissions following outpatient elective Nissen fundoplication.
Article in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 21 citations in OpenAlex.
- Differences in utilization and outcomes for laparoscopic versus robotic cholecystectomy in patients with class IV obesity: a retrospective cohort analysis of the NSQIP database.Surgical endoscopy · 2026Article
- Sleeve gastrectomy with same-day discharge: a propensity score-matched analysis of independent predictors of complication.Surgical endoscopy · 2025Article
- [Conversion to outpatient treatment beyond the hybrid DRG-A view abroad].Chirurgie (Heidelberg, Germany) · 2024Review
- Manometric identikit of a functioning and effective fundoplication for gastroesophageal reflux disease in the high-resolution manometry ERA.United European gastroenterology journal · 2024Article
- Early postoperative telehealth visit protocol implementation reduces emergency department utilization following benign foregut procedures.Surgical endoscopy · 2023Article
- Assessing the effects of smoking status on outcomes of elective minimally invasive paraesophageal hernia repair.Surgical endoscopy · 2023Article
- Performance of General Surgical Procedures in Outpatient Settings Before and After Onset of the COVID-19 Pandemic.JAMA network open · 2023Article
- Enteral formula compared to Nissen-Fundoplication: Data from a retrospective analysis on tolerance, utility, applicability, and safeness in children with neurological diseases.Frontiers in nutrition · 2023Article
- Same-Day Home Recovery for Benign Foregut Surgery.JAMA surgery · 2022Article
- Wearable technology and the association of perioperative activity level with 30-day readmission among patients undergoing major colorectal surgery.Surgical endoscopy · 2022Observational
- Complications and Readmissions Associated with First Assistant Training Level Following Elective Bariatric Surgery.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021Article
- Technique and outcome of day case laparoscopic hiatus hernia surgery for small and large hernias: a five-year retrospective review from a high-volume UK centre.Annals of the Royal College of Surgeons of England · 2020Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
introductionTraditionally, laparoscopic Nissen fundoplication (LNF) has been considered an inpatient procedure. Advances in surgical and anesthetic techniques have led to a shift towards outpatient LNF procedures. However, differences in surgical outcomes between outpatient and inpatient LNF are poorly understood. The objectives of this study were (1) to describe the frequency of outpatient LNF in a national cohort and (2) to identify any differences in complications or readmission rates between outpatient and inpatient LNF.
methodsThe American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify elective LNF cases from 2012 to 2016. Patients discharged on the day of surgery were compared to those discharged 24-48 h post-operatively. Outcomes included 30-day readmission and death or serious morbidity (DSM). Bivariate analyses were completed with Chi squared testing for categorical variables and two sided t tests for continuous variables. Associations between outpatient surgery and outcomes were assessed using multivariable logistic regression. Differences in readmission were analyzed using Kaplan-Meier failure estimates and log-rank tests.
resultsOf 7734 patients who underwent elective LNF, 568 (7.3%) were discharged on the day of surgery. The overall 30-day readmission rate was 4.1% (n = 316) and the overall rate of DSM was 1.0% (n = 79). The most common 30-day readmission diagnoses overall were infectious complications (16.1%), dysphagia (12.9%), and abdominal pain (11.7%). On multivariable analysis, there was no association between outpatient surgery and 30-day readmission (3.9% vs. 4.1%; aOR 0.97, 95% CI 0.62-1.52, p = 0.908) or DSM (1.1% vs. 1.0%; aOR 0.91, 95%CI 0.36-2.29, p = 0.848). Kaplan-Meier analysis showed no difference in rates of hospital readmission between groups at 30-days from discharge (3.9% vs. 4.1%, p = 0.325).
conclusionsAmong patients undergoing elective LNF, there were no significant differences in post-operative complications and 30-day readmission when compared to traditional inpatient postoperative care. Further consideration should be given to transitioning LNF to an outpatient procedure.
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