Related Experiment Videos
Laparoscopic fundoplication in children: our first 30 cases
B Longis1, D Grousseau, J L Alain
1Department of Pediatric Surgery, CHRU Dupuytren, Limoges, France.
Journal of Laparoendoscopic Surgery
|March 1, 1996
Summary
Laparoscopic fundoplication is a safe and feasible surgical option for children with gastroesophageal reflux. This minimally invasive approach, utilizing specialized instruments, offers effective treatment with manageable complications.
Area of Science:
- Pediatric Surgery
- Minimally Invasive Surgery
Background:
- Gastroesophageal reflux disease (GERD) is a common condition in children.
- Surgical intervention, such as fundoplication, is considered for refractory cases.
- Laparoscopic techniques offer potential benefits over open procedures.
Purpose of the Study:
- To report the experience of performing laparoscopic fundoplications in pediatric patients.
- To evaluate the feasibility and outcomes of Nissen Rossetti and Toupet fundoplication techniques in children.
- To highlight the use of specialized instruments for pediatric laparoscopic surgery.
Main Methods:
- A total of 30 laparoscopic fundoplications were performed in children aged 2-15 years.
- Procedures included 24 Nissen Rossetti and 6 Toupet fundoplications.
- Specialized instruments were utilized, including a miniature parietal suspender, liver retractor, and articulated Babcock forceps.
Main Results:
- One conversion to open surgery was necessary.
- An average follow-up of 12 months was observed for 18 children.
- Three complications were reported: dysphagia, an intrathoracic valve, and recurrent digestive bleeding.
Conclusions:
- Laparoscopic fundoplication is a feasible extension of minimally invasive surgery for pediatric patients.
- Experienced surgeons can safely perform these procedures with careful consideration of limitations.
- The use of specialized instruments facilitates the procedure in young children.