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Related Concept Videos

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Video

Updated: Jun 29, 2026

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve
08:21

Utilizing a 3D Printed Laparoscopic Nissen Fundoplication Model to Shorten a Resident's Learning Curve

Published on: August 15, 2025

Day-case laparoscopic Nissen fundoplication.

C D Jensen1, A D Gilliam, L F Horgan

  • 1North Tyneside Hospital, Rake Lane, North Shields, Tyne and Wear, NE29 8NH, UK.

Surgical Endoscopy
|October 16, 2008
PubMed
Summary
This summary is machine-generated.

Day-case laparoscopic Nissen fundoplication (LNF) is a safe and effective treatment for gastroesophageal reflux disease (GERD). This study shows that half of LNF procedures in a district general hospital can be performed as day cases, with reduced operative times due to increased experience.

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Area of Science:

  • Gastroenterology
  • Minimally Invasive Surgery
  • Surgical Outcomes

Background:

  • Laparoscopic Nissen fundoplication (LNF) offers advantages over open surgery for gastroesophageal reflux disease (GERD).
  • Day-case LNF is infrequently reported in the UK, with most studies indicating longer hospital stays.
  • This study evaluates the feasibility of day-case LNF in a UK district general hospital setting.

Purpose of the Study:

  • To assess the safety and efficacy of day-case laparoscopic Nissen fundoplication (LNF).
  • To analyze patient outcomes, including length of stay, complications, and symptom improvement, following day-case LNF.

Main Methods:

  • Retrospective review of clinical records for 113 day-case LNF procedures over a 5-year period (2003-2007).
  • Data collected included length of stay, operative time, surgeon grade, perioperative complications, and follow-up symptom data.
  • Analysis focused on the proportion of day-case LNFs, operative time reduction with experience, and complication rates.

Main Results:

  • 113 day-case LNFs were performed, with 98% of patients being ASA grade I or II.
  • A single perioperative complication (port-site bleed) occurred, not prolonging hospital stay.
  • The proportion of LNFs performed as day cases increased from 8% to 52% during the study; operative time significantly decreased with experience (p=0.037).
  • At follow-up (median 7 weeks), 82% of patients reported symptom improvement; 8 patients experienced postoperative complications, with no conversions to open surgery.

Conclusions:

  • Day-case LNF is a safe and effective option for selected GERD patients in a district general hospital.
  • The increasing proportion of day-case LNFs indicates successful implementation and growing unit experience.
  • Experience significantly reduces operative time, supporting the expansion of day-case LNF services.