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Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
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Collis-Nissen fundoplication using a computer-powered right angle linear cutting stapler in children.

Tsubasa Takahashi1, Tadaharu Okazaki, Akihiro Shimotakahara

  • 1Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.

Pediatric Surgery International
|August 20, 2009
PubMed
Summary

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Computer-powered right angle linear cutters (CPRALC) offer a safe and effective method for Collis-Nissen fundoplication (CNF) in children with short esophagus. This approach addresses gastroesophageal reflux (GER) and failed Nissen procedures.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Surgical Technology

Background:

  • Gastroesophageal reflux (GER) and failed Nissen fundoplication in children can be challenging, particularly when associated with a short esophagus.
  • Traditional surgical techniques may have limitations in managing these complex cases.

Observation:

  • This study reports the clinical experience of using a computer-powered right angle linear cutter (CPRALC) for Collis-Nissen fundoplication (CNF) in three pediatric patients.
  • All patients presented with either persistent GER or failed Nissen fundoplication secondary to a short esophagus.

Findings:

  • The CPRALC was utilized to perform Collis vertical gastroplasty, effectively elongating the esophagus in all three cases.
  • Nissen fundoplication was subsequently performed around the neo-esophagus.

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  • No intra- or post-operative complications were observed, indicating a safe procedural profile.

    • Implications:

    • This is the first report detailing the use of CPRALC for CNF in pediatric patients.
    • The findings suggest that CPRALC is a safe and effective tool for managing GER and failed Nissen fundoplication in children with short esophagus.
    • This technique may offer a valuable alternative for complex pediatric anti-reflux surgeries.