Laparoscopic Nissen Fundoplication
- 1 August 1994
- journal article
- advances in-surgical-technique
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Surgery
- Vol. 220 (2), 137-145
- https://doi.org/10.1097/00000658-199408000-00004
Abstract
Objective The authors' laparoscopic approach for a Nissen fundoplication is presented. Summary Background Data The technique has been undertaken in 155 patients over 29 months, with 137 patients having been observed for more than 3 months. Methods Three hundred sixty degree fundoplicatton was undertaken using three or four sutures to secure the wrap. Short gastric vessels were not divided, and the anterior wall of the stomach was used to construct the wrap around the esophagus with a large bougie in position. Results The operation was not completed laparoscopically in 19 patients because a satisfactory wrap could not be achieved. Ten patients undergoing laparoscopic fundoplication underwent a subsequent operation related to the laparoscopic procedure within 6 months, and there was one postoperative death. Seven other patients were readmitted to the hospital several days subsequent to their discharge, four because of pulmonary emboli. Of 137 patients who have been observed for more than 3 months, 133 patients are well and currently are free from reflux symptoms. Conclusions In uncomplicated cases, laparoscopic fundoplication has similar advantages to laparoscopic cholecystectomy. In spite of the fact that it has not yet achieved the overall usefulness of open fundoplication, it seems likely that laparoscopic fundoplication will be used increasingly in the treatment of patients with gastroesophageal reflux disease.Keywords
This publication has 19 references indexed in Scilit:
- Outcome 5 years after 3600° fundoplication for gastro-oesophageal reflux diseaseBritish Journal of Surgery, 1993
- Laparoscopic cholecystectomy as a routine procedure for gallstones: Results of an ‘all-comers’ policyBritish Journal of Surgery, 1992
- Laparoscopic reduction, crural repair, and fundoplication of large hiatal herniaThe American Journal of Surgery, 1992
- Minimally invasive antireflux proceduresWorld Journal of Surgery, 1992
- Minimizing the side effects of antireflux surgeryWorld Journal of Surgery, 1992
- Laparoscopic Paraesophageal Hernia RepairJournal of Laparoendoscopic Surgery, 1992
- Laparoscopic Nissen fundoplication: preliminary report.1991
- Coelioscopic CholecystectomyAnnals of Surgery, 1990
- Nissen Fundoplication for Gastroesophageal Reflux DiseaseAnnals of Surgery, 1986
- [A simple operation for control of reflux esophagitis].1956