Laparoscopic fundoplication and new aspects of neural anatomy at the oesophagogastric junction.

BJS Open
P GehwolfH Wykypiel

Abstract

In fundoplication, mobilization of the distal oesophagus and proximal stomach is essential to obtain a sufficient tension-free intra-abdominal oesophageal length for creation of an efficient antireflux barrier. Most surgical literature and anatomical illustrations do not describe nerve branches running from the diaphragm to the stomach. After observing small nerve branches at laparoscopic fundoplication, penetrating the left crus of the diaphragm lateral to the hiatus and apparently running into the stomach, an anatomical cadaver study was undertaken to identify the origin and target organ of these nerves. Fifty-three human cadavers (23 men, 30 women; age range 35-103 years) were dissected with special attention to the nerves that penetrate the left crus of the diaphragm. The entire course of these nerves was documented with standardized drawings and photos. Small nerve branches penetrating the diaphragm lateral to the left crus of the hiatus were found in 17 (32 per cent) of the 53 cadavers. In 14 of these 17 cadavers, one or two splanchnic nerve branches were identified, and in ten of the 17 the nerve branches were found to be phrenic nerves. In seven of these 17 cadavers, two different nerve branches were found and assigned ...Continue Reading

References

Jun 15, 1968·The Japanese Journal of Physiology·S Nakayama, T Mori
Jun 1, 1982·Acta Physiologica Scandinavica·P LidbergH Ahlman
Nov 14, 2001·American Journal of Physiology. Gastrointestinal and Liver Physiology·N Ozaki, G F Gebhart
Feb 16, 2005·Langenbeck's Archives of Surgery·Heinz WykypielGerold J Wetscher
Aug 1, 1940·Annals of Surgery·R C SullivanJ D Kirshbaum
Sep 16, 2009·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·T R Gest, Sabine Hildebrandt
Aug 6, 2010·European Journal of Pharmaceutics and Biopharmaceutics : Official Journal of Arbeitsgemeinschaft Für Pharmazeutische Verfahrenstechnik E.V·Albert A RizvanovAndrás Palotás
Nov 7, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marco E AllaixMarco G Patti
Nov 11, 2014·Journal of Anatomy·Tyler S BeveridgeBrian L Allman
Sep 5, 2015·Neurogastroenterology and Motility : the Official Journal of the European Gastrointestinal Motility Society·A DeiterenB Y De Winter
Nov 3, 2016·Journal of Visualized Experiments : JoVE·Sara NullensBenedicte Y De Winter
Jul 22, 2018·Updates in Surgery·Fabrizio RebecchiMario Morino

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