Related Experiment Videos
Laparoscopic fundoplication
1Children's Hospital of Alabama, Birmingham 35233, USA.
Insights
Laparoscopic fundoplication offers faster recovery and equivalent outcomes to open surgery for pediatric symptomatic gastroesophageal reflux. However, consensus on optimal surgical techniques, including partial versus complete fundoplication, remains elusive.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Innovation
Background:
- Symptomatic gastroesophageal reflux in children is increasingly diagnosed.
- There is a lack of consensus on diagnostic work-up and surgical treatment for pediatric reflux.
- Laparoscopic fundoplication is emerging as a standard procedure in some centers.
Purpose of the Study:
- To evaluate the outcomes of laparoscopic fundoplication compared to open fundoplication in children.
- To discuss the ongoing debates regarding surgical techniques for pediatric reflux.
Main Methods:
- Comparative analysis of outcomes between laparoscopic and open fundoplication.
- Review of current practices and challenges in pediatric reflux surgery.
Main Results:
- Laparoscopic fundoplication demonstrates equivalent outcomes to open fundoplication.
- Laparoscopic surgery is associated with a faster recovery period.
- Disagreement persists regarding partial versus complete fundoplication and the use of gastric outlet procedures.
Conclusions:
- Laparoscopic fundoplication is a viable and effective surgical option for pediatric symptomatic gastroesophageal reflux.
- Further consensus is needed on specific surgical approaches to optimize treatment.
- Faster recovery highlights the benefits of minimally invasive techniques in pediatric surgery.
Abstract:
Symptomatic gastroesophageal reflux in children has been identified with increasing frequency over the last two decades. Agreement regarding the elements of a complete diagnostic work-up and the timing and specific surgical procedures for treating reflux has been difficult to achieve. Laparoscopic fundoplication is a routine procedure in some pediatric surgery centers. This surgical technique has the potential to reduce the pain and morbidity associated with open fundoplication. The outcomes after laparoscopic fundoplication have been equivalent to open fundoplication and are associated with faster recovery. Consensus regarding when to perform a partial fundoplication as compared to a complete fundoplication in addition to the appropriateness of gastric outlet procedures has not been achieved.