Laparoscopic left-sided Nissen fundoplication in children.

Abstract:

:It is sometimes difficult or inappropriate to adopt the standard surgical steps of adult laparoscopic procedures in pediatric patients because of the inevitably smaller anatomical structures and confined intra-abdominal working space. During laparoscopic Nissen fundoplication difficulties are usually encountered, especially when dissecting the diaphragmatic crura, creating the retroesophageal window, and repairing the crura. Thus, we devised a technique to accomplish these steps in pediatric patients. Both crural dissection and repair are approached from the left side of the esophagus and the port configuration for the laparoscope and other instruments is altered, providing better surgical exposure and easier handing of the instruments, even in very small patients. We describe this technique in detail and our results.

journal_name

Surg Today

journal_title

Surgery today

authors

Nakajima K,Kawahara H,Wasa M,Soh H,Taniguchi E,Ohashi S,Okada A

doi

10.1007/s00595-004-2760-2

subject

Has Abstract

pub_date

2004-01-01 00:00:00

pages

562-4

issue

6

eissn

0941-1291

issn

1436-2813

journal_volume

34

pub_type

临床试验,杂志文章
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