{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,22]],"date-time":"2025-08-22T05:06:20Z","timestamp":1755839180472,"version":"3.44.0"},"reference-count":38,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Objective:<\/jats:title>\n The objective of this study was to compare the treatment results of low-pressure pneumoperitoneum with abdominal wall lifting (AWL+LP, 6\u2009mm\u2009Hg) versus standard pressure pneumoperitoneum (SP, 12\u2009mm\u2009Hg) during laparoscopic fundoplication for gastroesophageal reflux disease (GERD), using propensity score matching (PSM).<\/jats:p>\n <\/jats:sec>\n \n Materials and Methods:<\/jats:title>\n A retrospective analysis was made of 362 patients, 123 in the AWL+LP group and 239 in the SP group, who underwent laparoscopic fundoplication for GERD from January 2010 to December 2017. Perioperative and prognostic outcomes were compared after PSM with 1:1 match.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n After PSM, 107 matched pairs were obtained. Compared with the SP group at 30 and 60 minutes after pneumoperitoneal initiation, the AWL+LP group showed significantly lower end-tidal carbon dioxide value (P<\/jats:italic><0.001, <0.001, respectively), lower partial pressure of carbon dioxide value (P<\/jats:italic><0.001, 0.016, respectively) and significantly higher pH value (P<\/jats:italic><0.001, <0.001, respectively). However, postoperative shoulder pain, abdominal pain, and arrhythmia in the AWL+LP group were less than those in SP group (P<\/jats:italic>=0.01, 0.017, 0.005, respectively). There was no significant difference in operative time (106.54\u00b127.80 vs. 107.38\u00b124.78\u2009min), blood loss [15\u2009mL (interquartile range: 12.5 to 20\u2009mL) vs.15\u2009mL (interquartile range: 10 to 20\u2009mL)], length of stay (4 vs. 4\u2009d), the wound ecchymosis [2 (1.87%) vs. 3 (2.80%)] and rates of recurrence [8 (7.48%) vs. 5 (4.67%)] between AWL+LP group and SP group.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n AWL+LP resulted in comparable perioperative and prognostic outcomes with less impact on changes in cardiorespiratory function compared with SP approaches of laparoscopic fundoplication for GERD.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/sle.0000000000000990","type":"journal-article","created":{"date-parts":[[2021,8,9]],"date-time":"2021-08-09T16:50:30Z","timestamp":1628527830000},"page":"46-53","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Low-pressure Pneumoperitoneum With Abdominal Wall Lifting Versus Standard Pressure Pneumoperitoneum in Laparoscopic Fundoplication for Gastroesophageal Reflux Disease: A Propensity Score\u2013matched Analysis"],"prefix":"10.1097","volume":"32","author":[{"given":"Zhen","family":"Yu","sequence":"first","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lei","family":"Yu","sequence":"additional","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ji-xiang","family":"Wu","sequence":"additional","affiliation":[{"name":"General Surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tao","family":"Yu","sequence":"additional","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xing-guo","family":"Yang","sequence":"additional","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bao-xun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xin","family":"Du","sequence":"additional","affiliation":[{"name":"Thoracic Surgery"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","published-online":{"date-parts":[[2022,2]]},"reference":[{"key":"R1-20250816","doi-asserted-by":"crossref","first-page":"1402","DOI":"10.1136\/gutjnl-2016-311715","article-title":"Asia-Pacific consensus on the management of gastro-oesophageal reflux disease: an update focusing on refractory reflux disease and Barrett\u2019s oesophagus","volume":"65","author":"Fock","year":"2016","journal-title":"Gut"},{"key":"R2-20250816","doi-asserted-by":"crossref","first-page":"1365","DOI":"10.1111\/j.1365-2036.2007.03333.x","article-title":"Review article: the role of surgery in gastro-oesophageal reflux 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