BACKGROUND: Ambulatory laparoscopic fundoplication for @entity354 ( @entity354 ) has been developed in order to increase @entity1 ' satisfaction and to save bed costs. The aim of this systematic review was to assess the advantages and disadvantages of ambulatory surgery in @entity1 undergoing elective fundoplication for @entity354 . METHODS: Two reviewers independently searched and identified 15 prospective or retrospective nonrandomized studies dealing with ambulatory laparoscopic fundoplication for @entity354 in the Medline, Cancerlit, and Embase databases between January 1990 and July 2010. Outcomes were postoperative mortality, morbidity, conversion and reoperation rates, mean operative time, hospital admission or readmission, unexpected consultation, and @entity1 satisfaction. Because only one comparative study was identified, data compilation and relative risk evaluation through meta-analysis were not possible. RESULTS: A total of 1459 adult @entity1 underwent an ambulatory laparoscopic fundoplication for @entity354 , 876 in a day-case setting and 583 in an outpatient setting. The procedure appears feasible for selected @entity1 and expert surgeons, and it has a very low mortality rate and conversion, reoperation, and overall morbidity rates of 3.6, 0.6, and 11.1%, respectively. Hospital admission, nonprogrammed consultation, and hospital readmission rates were as high as 20, 11, and 12%, respectively. No study looked at comparative long-term functional results between ambulatory and inpatient procedures. @entity1 satisfaction rates based on self-evaluation were high. CONCLUSION: The data available to date in the literature, mostly of level 4 evidence, suggest that laparoscopic fundoplication for @entity354 appears to be safe and feasible in a day-surgery setting, subject to careful @entity1 selection and surgeon expertise. Randomized control trials are urgently needed to better evaluate this promising care management.

Ambulatory laparoscopic fundoplication for XXXX : a systematic review.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'Patient'] @entity354 :: ('MESH:D005764', 'Disease') :: ['gastroesophageal reflux disease', 'GERD']
@entity354 :: (MESH:D005764,Disease) :: ['gastroesophageal reflux disease']
