Related Experiment Video
Updated: Aug 5, 2026
11:19
Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Multimedia article. Laparoscopic fundoplication in an infant
Surgical Endoscopy
|March 25, 2004
Summary
Laparoscopic fundoplication is a safe and effective surgical treatment for infants with gastroesophageal reflux, leading to a quick recovery and discharge. This minimally invasive approach offers advantages for pediatric patients requiring reflux correction.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
- Gastroenterology
Background:
- Laparoscopic fundoplication is increasingly preferred for infant gastroesophageal reflux due to reduced patient discomfort and shorter hospital stays.
- Potential benefits include earlier return to work for parents.
Purpose of the Study:
- To demonstrate the operative features of laparoscopic fundoplication in an infant with a life-threatening event secondary to gastroesophageal reflux.
- To highlight the use of specific surgical techniques and technology in pediatric laparoscopic surgery.
Main Methods:
- Video depicts laparoscopic fundoplication using a 5 mm umbilical cannula for insufflation and a 5 mm angled telescope.
- Instruments inserted via stab incisions without additional cannulas.
- Utilized AESOP, a voice-activated robotic camera holder, for enhanced surgical visualization.
Main Results:
- The procedure involved dividing short gastric vessels, closing the crura, and securing the esophagus intra-abdominally.
- Ensured fundoplication wrap length of approximately 2.0 cm to prevent postoperative migration.
- The operative technique was straightforward.
Conclusions:
- The patient experienced an uneventful recovery and was discharged the day after surgery.
- No postoperative complications were observed.
- Laparoscopic fundoplication is a viable and safe option for infants with severe gastroesophageal reflux.
