Skip to main content

Laparoscopic Toupet Fundoplication

  • Chapter
Book cover Gastroesophageal Reflux Disease

Summary

Toupet described his technique of fundoplication in 1963 [1]. He had little clinical experience, but saw the importance of a partial wrap to avoid postoperative dysphagia. He recommended closure of the hiatus only in case of large hernias and never divided the short gastric vessels. If we talk about a Toupet procedure today, we mean a posterior partial fundoplication. In contrary to his original technique we have learned that hiatal closure is important to avoid recurrent hernia and that the wrap can be tailored more nicely, if the short gastric vessels are divided. This modern adaptation of Toupet’s operation is a very successful tool to treat gastrooesophageal reflux disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Toupet MA (1963) Technique d’oesophago-gastroplastic avec phreno-gastropexie appliquee dans la cure radicale des hernies hiatales et comme complemet de l’operation de Heller dans les cordiospasmes. Mem Acad Chir 89: 394

    Google Scholar 

  2. Katkhouda N, Khalil MR, Manhas S, Grant St, Velmahos GC, Umbach TW, Kaiser AM (2002) André Toupet: Surgeon technician par excellence. Ann Surg 235: 591–599

    Article  PubMed  Google Scholar 

  3. Nissen R (1995) Eine einfache Operation zur Beeinflussung der Refluxoesophagitis. Schweiz Med Wochenschr 86: 590–592

    Google Scholar 

  4. Zornig C, Strate U, Fibbe C, Emmermann A, Layer P (2002) Nissen vs. Toupet laparoscopic fundoplication: a prospective randomized study of 200 patients with and without preoperative esophageal motility disorders. Surg Endosc 16: 758–766

    Article  PubMed  CAS  Google Scholar 

  5. Fibbe C, Layer P, Keller J, Strate U, Emmermann A, Zornig C (2001) Esophageal motility in reflux disease before and after fundoplication: a prospective, randomized, clinicaland manometric study. Gastroenterology 121: 5–14

    Article  PubMed  CAS  Google Scholar 

  6. Lortat-Jacob JL (1954) Les malpositions cardio-tuberositaires. Lyon Chir 6: 49–58

    Google Scholar 

  7. DeMeester TR, Peters JH (1993) Fehler und Gefahren bei der laparoskopischen Antirefluxchirurgie. Chirurg 64: 230–236

    PubMed  CAS  Google Scholar 

  8. Fuchs KH, Freys SM, Heimbucher J, Thiede A (1994) Management of gastroesophageal reflux disease. Dis Esophagus 7: 250–254

    Google Scholar 

  9. Hunter JG, Swanstrom L, Waring JP (1996) Dysphagia after lapasrocopic antireflux surgery: the impact of operative technique. Ann Surg 224: 51–57

    Article  PubMed  CAS  Google Scholar 

  10. Hunter JG, Trus TL, Branum GD, Waring JP, Wood WC (1996) A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg 223: 673–685

    Article  PubMed  CAS  Google Scholar 

  11. Cuschieri A, Hunter J, Wolfe B, Swanstrom LL, Hutson W (1993) Multicenter prospective evaluation of laparoscopic antireflux surgery: preliminary report. Surg Endosc 7: 505–510

    Article  PubMed  CAS  Google Scholar 

  12. Dallmagne B, Weerts JM, Jehaes C, Markiewicz S (1996) Causes of laparoscopic antireflux operations. Surg Endosc 10: 305–310

    Article  Google Scholar 

  13. Hinder RA, Filipi CJ, Wetcher G, Neary P, DeMeester TR, Perdikis G (1994) Laparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux disease. Ann Surg 220: 472–481

    PubMed  CAS  Google Scholar 

  14. Jamieson GG, Watson DI, Britten-Jones R, Mitchell PC, Anvari M (1994) Laparoscopic Nissen fundoplication. Ann Surg 220: 137–145

    PubMed  CAS  Google Scholar 

  15. Bell RC, Hanna P, Powers B, Sabel J, Hruza D (1996) Clinical and manometric results of laparoscopic partial (Toupet) and complete (Rosetti-Nissen) fundoplication. Surg Endosc 10: 724–728

    Article  PubMed  CAS  Google Scholar 

  16. Coster CC, Bower WH, Wilson VT, Brebrick RT, Richardson GL (1997) Laparoscopic partial fundoplication vs. laparoscopic Nissen-Rosetti fundoplication: short-term results of 231 cases. Surg Endosc 11: 625–631

    Article  PubMed  CAS  Google Scholar 

  17. Lundell L, Abrahamsson H, Ruth M, Rydberg L, Lonroth H, Olbe L (1996) Lonf-term results of a prospectice randomized comparison of total fundic wrap (Nissen-Rosetti) or semifundoplication (Toupet) for gastroesophageal reflux. Br J Surg 83: 830–835

    PubMed  CAS  Google Scholar 

  18. McKernan JB (1994) Laparoscopic repair of gastroseophageal reflux disease: Toupet partial fundoplication versus Nissen fundoplication. Surg Endosc 8: 851–756

    Article  PubMed  CAS  Google Scholar 

  19. Thor KB, Silander T (1989) A long-term randomized prospective trial of the Nissen procedure versus a modified Toupet technique. Ann Surg 210: 719–724

    PubMed  CAS  Google Scholar 

  20. Watson A, Spychal RT, Brown MG, Peck N, Callender N (1995) Laparoscopic physiological antireflux procedure: prelimanary results of a prospective symptomatic and objective study. Br J Surg 82: 651–656

    PubMed  CAS  Google Scholar 

  21. Bell RC, Hanna P, Mills MR, Bowery D (1999) Patterns of success and failure with laparoscopic Toupet fundoplication. Surg Endosc 13: 1189–1194

    Article  PubMed  CAS  Google Scholar 

  22. Hunter JG, Trus TL, Branum GD, Waring JP, Wood WC (1996) A physiologic approach to laparoscopic fundoplication for gastroesophageal reflux disease. Ann Surg 223: 673–685

    Article  PubMed  CAS  Google Scholar 

  23. Beckingham IJ, Cariem AK, Bornman PC, Callanan MD, Louw JA (1998) Oesophageal dysmotility is not associated with poor outcome after laparoscopic Nissen fundoplication. Br J Surg 85: 1290–1293

    Article  PubMed  CAS  Google Scholar 

  24. Rydberg L, Magnus R, Hasse A, Lundell L (1999) Tailoring antireflux surgery: a randomized clinical trial. World J Surg 23: 612–618

    Article  PubMed  CAS  Google Scholar 

  25. Watson DI, Jamiesson GG (1998) Antireflux surgery in the laparoscopic era. Br J Surg 85: 1173–1184

    Article  PubMed  CAS  Google Scholar 

  26. Watson DI, Jamiesson GG, Pike GK, Davies N, Richardson M, Devitt PG (1999) Prospective randomized double-blind trial between laparoscopic Nissen fundoplication and anterior partial fundoplication. Br J Surg 86: 123–130

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2006 Springer-Verlag/Wien

About this chapter

Cite this chapter

Zornig, C. (2006). Laparoscopic Toupet Fundoplication. In: Granderath, F.A., Kamolz, T., Pointner, R. (eds) Gastroesophageal Reflux Disease. Springer, Vienna. https://doi.org/10.1007/3-211-32317-1_17

Download citation

  • DOI: https://doi.org/10.1007/3-211-32317-1_17

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-23589-8

  • Online ISBN: 978-3-211-32317-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics