Comparison of operative techniques and intraoperative events in patients undergoing PEH repair
| Surgery | 60–69 yr | ≥ 70+ yr | p value | ||
|---|---|---|---|---|---|
| No. (%)* | Elective:emergent | No. (%)* | Elective:emergent | ||
| Surgical technique | |||||
| Laparoscopy | 54 (76) | 54:0 | 70 (58) | 65:5 | 0.011 |
| Laparotomy | 9 (13) | 6:3 | 41 (34) | 20:21 | 0.011 |
| Thoracotomy | 8 (11) | 6:2 | 10 (8) | 8:2 | 0.69 |
| Conversion to open from laparoscopy | 4 (6) | 4:0 | 5 (4) | 3:2 | 0.60 |
| Fundoplication (Dor, Toupet, Nissen)† | 64 (90) | 62:2 | 74 (65) | 71:3 | < 0.001 |
| Elective antireflux† | 62 (94) | — | 80 (86) | — | 0.15 |
| Gastropexy | 8 (12) | 5:3 | 35 (32) | 11:24 | 0.005 |
| Elective gastropexy | 3 (5) | — | 11 (13) | — | 0.19 |
| Intraoperative complication, % | 14 | — | 19 | — | 0.36 |
| LOS, mean ± SD, d | 7.8 ± 18.4 | 7.8 ± 19.3 : 8.6 ± 2.7 | 11.9 ± 21.5 | 6.6 ± 5.7: 31.0 ± 40.1 | 0.16 |
| Laparoscopy | 6.6 ± 20.4 | 6.5 ± 20.2 : N/A | 5.9 ± 8.2 | 4.7 ± 3.0 : 32.7 ± 28.9 | 0.41 |
| Laparotomy | 12.7 ± 14.0 | 15.3 ± 17.0 : 7.3 ± 1.5 | 20.4 ± 32.4 | 10.1 ± 5.1 : 30.6 ± 43.6 | 0.25 |
| Thoracotomy | 10.8 ± 5.1 | 10.8 ± 5.9 : 10.5 ± 3.5 | 18.9 ± 16.6 | 14.8 ± 12.6 : 33.0 ± 26.8 | 0.10 |