PMID: 8607656Apr 1, 1996Paper

Laparoscopic fundoplication: a natural extension for the thoracic surgeon

The Annals of Thoracic Surgery
K S NaunheimR J Keenan

Abstract

Thoracic surgeons have historically played a significant role in surgical treatment of benign esophageal disorders. With the advent of video-assisted thoracic surgical techniques, chest surgeons have also become adept at minimally invasive procedures. Thus, it seems appropriate that thoracic surgeons participate in minimally invasive antireflux operations, such as laparoscopic Nissen fundoplication. From February 1993 to May 1995, 66 patients (32 male, 34 female) with a mean age of 45.5 years (range, 15 to 82 years) underwent a laparoscopic fundoplication. Gastroesophageal reflux disease was diagnosed on the basis of history and endoscopically documented esophagitis or abnormal esophageal pH testing or both. There were 45 type I, 3 type II, and 7 type III hiatal hernias. Eleven patients had gastroesophageal reflux disease with no hernia. Conversion to laparotomy occurred in 6 patients (9%) due to bleeding in 2 patients, inability to expose the gastroesophageal junction in 3, and gastric laceration in 1 patient. All but 1 patient underwent a Nissen fundoplication performed over a 50F to 60F dilator. The remaining patient (type II hernia without gastroesophageal reflux disease) underwent a reduction, closure, and anterior gastrop...Continue Reading

References

Jul 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·W K KauerC G Bremner

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Citations

Feb 4, 1999·The Annals of Thoracic Surgery·R J LandreneauK S Naunheim
Feb 11, 1998·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·W CoosemansT Lerut
Aug 29, 2013·BioMed Research International·Chiuhsiang Joe Lin, Hung-Jen Chen
Oct 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·R J WiechmannR J Landreneau
Feb 25, 1998·The Journal of Thoracic and Cardiovascular Surgery·C DeschampsP C Pairolero

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