[Laparoscopic Nissen-Rossetti fundoplication: intermediate and long-term outcomes].

The aim of this study was to report our personal experience with laparoscopic antireflux surgery using the Nissen-Rossetti fundoplication technique and to analyse the clinical and functional outcomes. From 1994 to 2002, 52 patients with gastro-oesophageal reflux disease underwent laparoscopic surgery after previously being submitted to endoscopy, gastro-oesophageal pH-metry and oesophageal manometry. A Nissen-Rossetti total fundoplication (short and floppy) was performed in all patients, even in those with defective peristalsis. The mortality rate was O and the mean operative time 72 minutes. Among the complications observed in the follow-up (3-100 months), dysphagia was the most frequent (11 patients, 21.1%); this was transient and invariably mild in 8 cases (15.4%), and persistent in 3 (5.7%), though again mild. The reflux symptoms were completely cured in 98.1% of the patients. This experience suggests that laparoscopic surgery is a safe and effective procedure for the treatment of gastro-oesophageal reflux disease. Precise selection of patients and adequate surgical technique are essential.