Laparoscopic Nissen fundoplication without division of short gastric vessels in children

Laparoscopic Nissen Fundoplication Versus Thal Fundoplication in Children: Comparison of Short-Term Outcomes

“…Overall, there was no significant difference in the time taken for the two procedure and the average time of 105 minutes compared favorably with the literature ranging from 55 to 185 minutes. 1,2,10,[14][15][16]19 Like other series there was a trend toward shorter operative times at the end of study. 1,19 Not surprisingly, there was no difference in the need to observe patients postoperatively on HDU/PICU between the two groups-31 out 35 children who required HDU/PICU had underlying neurological problems with other major comorbidities and were equally distributed between Nissen and Thal patients.…”

“…Our conversion rate (1.7%) is comparable with the literature, ranging from 0% to 8%. 1,2,[9][10][11][12][13][14][15][16][17][18] Most authors report a higher number of intraoperative problems compared with the actual conversion rate. 1,[15][16][17] This is an indication that increasing surgical expertise and confidence means that the surgeon is able to cope with intraoperative problems laparoscopically (e.g., to stop bleeding, free adhesions, and to repair a perforation) rather than to convert to open surgery.…”

Long-term outcome of laparoscopic Nissen-Rossetti fundoplication for neurologically impaired and normal children

“…Few studies have reported this technique for the pediatric population [13,14]. In adult series [15] Nissen-Rossetti modification is thought to be responsible for more dysphagia than the Nissen technique and division of the short gastric vessels, a reason why most adult surgeons advocate the classic Nissen instead of the Nissen-Rossetti procedure.…”

Vanishing spleen after Nissen fundoplication: a case report

“…The necessity of dividing the short gastric vessels remains controversial as similar success rates are reported with partial fundoplication without division of the short gastric vessels [5,11].…”