Steven S Rothenberg1. 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.
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.
Authors: Ling Leung; Carol Wing Yan Wong; Patrick Ho Yu Chung; Kenneth Kak Yuen Wong; Paul Kwong Hang Tam Journal: Pediatr Surg Int Date: 2014-10-28 Impact factor: 1.827
Authors: Shawn D St Peter; Douglas C Barnhart; Daniel J Ostlie; KuoJen Tsao; Charles M Leys; Susan W Sharp; Donna Bartle; Tracey Morgan; Carroll M Harmon; Keith E Georgeson; George W Holcomb Journal: J Pediatr Surg Date: 2011-01 Impact factor: 2.545