Laparoscopic Nissen fundoplication: Technique and preliminary results

✍ Scribed by Dr G. B. Cadière; J. J. Houben; J. Bruyns; J. Himpens; J. M. Panzer; M. Gelin

• Publisher: John Wiley and Sons
• Year: 1994
• Tongue: English
• Weight: 394 KB
• Volume: 81
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800810327

✦ Synopsis

Between May 1991 and November 1992, 80 consecutive patients with gastro-oesophageal reflux disease underwent laparoscopic Nissen fundoplication. The technique used was exactly the same as f o r the conventional open approach. There were no deaths but there were f o u r peroperative complications: one gastric perforation, two pleural perforations and one hepatic laceration. Three conversions t o laparotomy were necessary, one because of a defective needle holder and two as a result of left hepatic lobe hypertrophy. The duration o f operation ranged f r o m