Comparative analysis of laparoscopic Nissen fundoplication and laparoscopic gastroplication according to A.F. Chernousov. Experience of two clinics

Introduction. The choice of antireflux intervention directly affects quality of life and the risk of disease recurrence. “Gold standard” to date is laparoscopic fundoplication according to Nissen. Laparoscopic gastroplication of A.F. Chernousov’s is popular in our country, the results of which are effective and safe. Aim: comparison of the results of surgical treatment of two techniques: laparoscopic Nissen fundoplication and gastroplication in A.F. Chernousov's. Materials and methods. The group of authors carried out a retrospective evaluation of the results of immediate clinical observations, as well as archival data of the patients operated from December 2023 to September 2024 at the bases of the City Clinical Hospital “M.E. Zhadkevich” and City Clinical Hospital «I.V. Davydovsky». The study included 109 patients who underwent laparoscopic Nissen fundoplication with the formation of a free short cuff (main group n=57) and laparoscopic gastroplication in the modification of A.F. Chernousov’s (control group n=52). Results. The median blood loss in the main group was 50 ml versus 120 ml in the control group. The average duration of surgery in the main group was 79 min, in the control group – 92 min. There were no intraoperative complications in both groups. There were no postoperative complications according to the Clavien-Dindo 3 in both groups. The average duration of hospital treatment was 3,9 days and 4,2 days, respectively. Conclusion. The results obtained did’t show a statistically significant difference when comparing the two techniques.