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Related Experiment Video

Updated: Jun 24, 2026

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

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Published on: August 15, 2025

Laparoscopic Nissen fundoplication.

T D Kane1

  • 1Department of Pediatric General and Thoracic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh Medical Center and School of Medicine, Pittsburgh, PA, USA. timothy.kane@chp.edu

Minerva Chirurgica
|April 15, 2009
PubMed
Summary
This summary is machine-generated.

Laparoscopic Nissen fundoplication is a safe and effective surgical option for infants and children with gastroesophageal reflux disease (GERD). This minimally invasive approach offers benefits over open surgery, including better cosmetic outcomes and faster feeding resumption.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Minimally Invasive Surgery

Background:

  • Gastroesophageal reflux disease (GERD) is a common condition in infants and children.
  • Surgical intervention, such as Nissen fundoplication, is considered for refractory GERD.
  • Laparoscopic techniques have become increasingly prevalent in pediatric surgery.

Purpose of the Study:

  • To review the history and current status of laparoscopic Nissen fundoplication in pediatric GERD.
  • To evaluate the safety, efficacy, and outcomes of this procedure in various pediatric populations.
  • To discuss the learning curve and complications associated with laparoscopic Nissen fundoplication.

Main Methods:

  • Comprehensive review of existing literature on laparoscopic Nissen fundoplication in infants and children.
  • Analysis of data on indications, surgical approach, safety, and outcomes.
  • Examination of learning curve and complication rates.

Main Results:

  • Laparoscopic Nissen fundoplication is safe, durable, and offers cosmetic advantages over open surgery.
  • The procedure allows for earlier feeding post-operatively.
  • Neurologically impaired children may experience improved quality of life, nutrition, and reduced aspiration risk.

Conclusions:

  • Laparoscopic Nissen fundoplication is a well-accepted and utilized treatment for pediatric GERD.
  • Further multi-institutional studies are needed to compare it with medical therapy and feeding tube approaches.
  • The learning curve for safe performance is estimated at 25-50 cases.