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University Clinical Center of Serbia, from January 2010 to January 2020. Comprehensive preoperative and intraoperative
findings, surgical procedures, and postoperative monitoring details are presented.

Results: In total, 550 consecutive patients were included in the study. Minimally invasive antireflux surgery was
performed in 260 patients for GERB, while surgery for giant hiatus hernia (GHH) and its subgroup involving intrathoracic
gastric positioning was conducted in 184 and 106 patients, respectively. There were no conversions to open procedures.
Pneumothorax occurred in 21 patients as a result of intraoperative pleural injury. Two patients required re-intervention due
to port-site bleeding. Short-term and long-term follow-up outcomes are highly satisfactory and have been presented in
detail.

Conclusion: The introduction and implementation of minimally invasive antireflux surgery, when properly executed within
a highly specialized center, can lead to a low incidence of complications and highly satisfactory short-term and long-term
functional outcomes.

Keywords: minimally invasive surgery, antireflux surgery, gastroesophageal reflux disease, giant hiatus hernia

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12 DOI: 10.5937/Galmed2307007S