Romania
Surgical Techniques
Left Side First Approach in Nissen Procedure for Gastroesophageal Reflux Disease; How We Do It
Author(s): Bogdan Moldovan, Pocreata D, Fodor D and Nicolescu CBogdan Moldovan, Pocreata D, Fodor D and Nicolescu C
Introduction
Gastroesophageal reflux disease (GERD) is a major public health problem. The "gold standard" in the surgical treatment of this condition is the laparoscopic technique called Nissen fundoplication.
Aim
This paper presents a safer alternative of the laparoscopic Nissen fundoplication, with special focus on the most difficult moment of the intervention, the creation of a retroesophageal passage.
Material and method (presentation of the surgical technique)
The conventional Nissen technique consists of the dissection of the esogastric junction in a clockwise direction, right to left: right pillar, hiatus, left pillar, retroesophageal passage, skeletonization of the fornix and reconstruction of the valve. We decided to perform a technique inspired from laparoscopic sleeve gastrectomy, whi.. Read More»
Journal of Surgery received 288 citations as per Google Scholar report