LAPAROSCOPIC THAL FUNDOPLICATION IN SEVERELY SCOLIOTIC CHILDREN

Citation
Dc. Vanderzee et Nma. Bax, LAPAROSCOPIC THAL FUNDOPLICATION IN SEVERELY SCOLIOTIC CHILDREN, Surgical endoscopy, 9(11), 1995, pp. 1197-1198
Citations number
NO
Categorie Soggetti
Surgery
Journal title
ISSN journal
09302794
Volume
9
Issue
11
Year of publication
1995
Pages
1197 - 1198
Database
ISI
SICI code
0930-2794(1995)9:11<1197:LTFISS>2.0.ZU;2-Q
Abstract
Surgical treatment of gastroesophageal reflux in severely scoliotic ch ildren can be quite bothersome because sometimes the working space bet ween the subcostal margins, iliac crest, and spinal column is very lim ited; the hiatus lies extremely deep away and is frequently rotated, m aking exposure more difficult, The laparoscopic approach could lend th e necessary extension to the surgeons' hands to reach the deep hiatus. Moreover the entrance of the ports can be adjusted to the special req uirements dictated by the scoliosis, Between February and December 199 4 laparoscopic Thal fundoplication was performed in five severely scol iotic children; four also had a feeding gastrostomy, There were no int raoperative complications, The laparoscopic approach allowed improved operative visibility. Mean hospital stay was 3 days. The children disp layed no symptomatic postoperative gastroesophageal reflux, which was confirmed by 3 months postoperative pH study, The laparoscopic approac h of fundoplication allows improved visibility and easier access to th e hiatus in severely scoliotic patients in comparison to the open appr oach, Results so far are good.