PMID: 8939835Dec 1, 1996Paper

The influence of surgical technique on clinical outcome of laparoscopic Nissen fundoplication

Surgical Endoscopy
J S WuN J Soper

Abstract

During laparoscopic Nissen fundoplication (LNF), it is unclear whether the short gastric vessels (SGV) should be divided, the crura reapproximated, or the wrap sutured to the crus. Since first performing LNF, we have consistently utilized a <2.5-cm wrap performed over a >50 Fr dilator. Other technical details have varied, and these are reviewed in terms of early clinical outcome. Of 105 consecutive patients undergoing LNF, two were converted to open operation (2%). In the remaining 103 patients with >/=3-month follow-up (mean 17 months), the initial 46 (group 1; 45%, mean age +/- SEM = 47 +/- 2 years) had selective division of the SGV, crural closure, and wrap fixation. In this group, 32 patients (70%) underwent SGV division, 30 patients (65%) had crural closure (10 anteriorly/20 posteriorly), and 14 patients (30%) had the wrap sutured to the crus. During the subsequent 57 LNFs (group 2; 55%, 47 +/- 2 years), all patients underwent SGV division, posterior crural closure, and suture of the wrap to the crus. Clinical outcome at >/=3 months was compared between the two groups. The frequencies of mild reflux symptoms, meteorism, and persistent dysphagia were similar in the two groups. However, the incidences of slippage of the wrap...Continue Reading

Citations

Jan 5, 2006·Surgical Endoscopy·L BierthoM Anvari
Nov 15, 2006·Surgical Endoscopy·Pavi Singh KundhalDavid R Urbach
Aug 21, 2010·Surgical Endoscopy·Dimitrios StefanidisUNKNOWN SAGES Guidelines Committee
Nov 6, 2010·Surgical Endoscopy·András LégnerSumeet K Mittal
Apr 17, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·J GillT C B Dehn
May 26, 2010·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Christopher S DavisP Marco Fisichella
Nov 7, 2012·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Marco E AllaixMarco G Patti
Sep 15, 2000·The Surgical Clinics of North America·D J Bowrey, J H Peters
Apr 11, 2001·Journal of the American College of Surgeons·D L Crawford, E H Phillips
May 11, 1999·Annals of Surgery·N J Soper, D Dunnegan
Jan 25, 2002·Annals of Surgery·Nathaniel J Soper
Jan 20, 2006·Journal of Zhejiang University. Science. B·Shi-ping Luh, Hui-ping Liu
Mar 1, 2011·Journal of Geriatric Cardiology : JGC·Ernst R SchwarzRobert D Willix
Nov 20, 2015·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Leopoldo Herrera ChabertNarcizo Leon Quintero
Jan 6, 2005·Journal of the American College of Surgeons·Andrew J E SeelyRichard J Finley
Oct 20, 1999·Current Problems in Surgery·N J Soper
Feb 25, 1998·The Journal of Thoracic and Cardiovascular Surgery·C DeschampsP C Pairolero
Aug 21, 2015·Revista do Colégio Brasileiro de Cirurgiões·Alexandre Chartuni Pereira TeixeiraJosé Carlos Del Grande
Nov 28, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B DallemagneS Perretta
Jul 22, 1999·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·A VoitkG Rosenthal
Dec 22, 2011·European Journal of Gastroenterology & Hepatology·Salman NusratKlaus Bielefeldt
Jul 5, 2003·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·M Victorzon, P Tolonen
Feb 6, 2013·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Paulo Afonso Nunes NassifOsvaldo Malafaia
Jan 26, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mostafa ZainMohamed Abouheba

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