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J Pediatr Surg. 2005 Jan;40(1):142-6; discussion 147.

The first decade's experience with laparoscopic Nissen fundoplication in infants and children.

Author information

1
The Mother and Child Hospital at Presbyterian/St Luke's Medical Center, Denver, CO 80218, USA. steverberg@aol.com

Abstract

BACKGROUND/PURPOSE:

Fundoplication for gastroesophageal reflux disease is a common procedure performed in infants and children. This report describes over a 10-year experience with more than 1000 consecutive laparoscopic Nissen fundoplications.

METHODS:

Ages ranged from 5 days to 18 years and weight from 1.2 to 120 kg. The procedures were performed using a 5 trocar technique and with 5- or 3-mm instruments depending on the size of the patient. Of 1050 fundoplications, 1048 were completed successfully through laparoscopy.

RESULTS:

Average operative time dropped dramatically from 109 minutes for the first 30 cases compared with 38 minutes for the last 30. Intraoperative and postoperative complications were 0.26% and 4.0%, respectively. Average time to discharge post fundoplication was 1.1 days. The wrap failure rate is 4.0%.

CONCLUSIONS:

This study shows in a large operative experience for 10 years that laparoscopic fundoplication is safe and effective in the pediatric population. Clinical results are comparable to the traditional open fundoplication but with a significant decrease in morbidity and hospitalization.

PMID:
15868575
DOI:
10.1016/j.jpedsurg.2004.09.031
[Indexed for MEDLINE]
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