Related Experiment Videos
Laparoscopic Nissen fundoplication in children: a single surgeon's experience
1Minimally Invasive Institute, New York Medical College, Westchester Medical Center, Valhalla, NY 10594, USA.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|February 29, 2000
Summary
Pediatric laparoscopic Nissen fundoplication is a safe and effective treatment for severe gastroesophageal reflux disease (GERD). This minimally invasive approach offers reduced recovery times and hospital stays compared to open surgery.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Laparoscopic Nissen fundoplication is increasingly adopted for adult GERD.
- Pediatric application of this technique is gaining traction.
- This study assesses initial pediatric laparoscopic Nissen fundoplication outcomes.
Purpose of the Study:
- Evaluate the safety and efficacy of laparoscopic Nissen fundoplication in children.
- Compare outcomes to traditional open surgical procedures.
- Establish laparoscopic Nissen fundoplication as a potential standard of care for pediatric GERD.
Main Methods:
- Retrospective review of 25 consecutive pediatric laparoscopic Nissen fundoplications.
- Patients aged 7 months to 18 years with documented GERD.
- Analysis of operative details, complications, and postoperative recovery.
Main Results:
- All procedures were completed laparoscopically without conversion to open surgery.
- Mean operative time was 221 minutes; average discharge was postoperative day 6.8.
- Early feeding resumption (day 2) and shorter hospital stays were observed.
Conclusions:
- Laparoscopic Nissen fundoplication is a safe and effective option for pediatric GERD.
- Reduced recovery time and hospital stay compared to open surgery.
- Potential to become the preferred surgical treatment for pediatric GERD.