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

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Laparoscopic tailored Nissen fundoplication.

Hitoshi Idani¹, Shinya Asami, Takashi Ishikawa

¹Department of Surgery, Fukuyama City Hospital, Fukuyama City, Hiroshima, 721-8511, Japan. ihitoshi@saturn.dti.ne.jp

Surgical Endoscopy

|February 24, 2010

Summary

This summary is machine-generated.

This study introduces a novel technique for laparoscopic Nissen fundoplication (LNF) to precisely define suture points, improving safety and effectiveness in GERD treatment. The new method ensures accurate fundoplication without needing esophageal circumference measurement or a bougie.

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Area of Science:

Minimally Invasive Surgery
Gastrointestinal Surgery
Surgical Innovation

Background:

Accurate suture point determination for laparoscopic Nissen fundoplication (LNF) can be challenging.
A novel procedure is presented to simplify and improve suture point localization in LNF.

Purpose of the Study:

To introduce and evaluate a new technique for precise suture point localization in LNF.
To assess the safety and efficacy of this novel LNF procedure.

Main Methods:

The technique involves measuring esophageal diameter over a bougie to calculate fundoplication diameter.
Suture points are precisely located to create a 2-cm floppy Nissen wrap without twisting.
The procedure was performed on 20 patients with gastroesophageal reflux disease and/or hiatal hernia.

Main Results:

LNF was successfully completed in all 20 patients with no major complications.
Mild dysphagia in two patients resolved within three weeks.
All patients showed symptom improvement, and 19 had no recurrence at a median 30-month follow-up.

Conclusions:

The new procedure is safe and effective for creating accurate Nissen fundoplications.
Precise localization of suture points is feasible without esophageal circumference measurement.
LNF can be performed effectively without a bougie using this technique.