Journal of Gastrointestinal Surgery

, Volume 20, Issue 12, pp 2093–2099 | Cite as

Laparoendoscopic Single-Site (LESS) Nissen Fundoplication: How We Do It

  • Alexander S. RosemurgyEmail author
  • Darrell Downs
  • Forat Swaid
  • Sharona B. Ross
How I do it


Laparoscopic Nissen fundoplication for the symptomatic treatment of gastroesophageal reflux disease (GERD) has been shown to be an efficacious, durable, and safe operation.18 It is now the “gold standard” operative therapy for GERD.9 Laparoendoscopic single-site (LESS) surgery is at the forefront of modern minimally invasive techniques for gastrointestinal surgery. Herein, we describe our current technique for undertaking LESS Nissen fundoplication.

The LESS technique was introduced into our surgical repertoire in 2007.1018 To date, we have undertaken over 1500 LESS operations. We introduced LESS fundoplication in 2008. The technique described herein is based on our experience with more than 2000 fundoplications performed by conventional laparoscopy and more than 400 LESS fundoplications. For the last 7 years, all our fundoplications have been undertaken utilizing the LESS approach.

Preoperative Evaluation

Patients with clinical evidence of GERD are evaluated...


Laparoendoscopic single-site LESS Fundoplication Nissen GERD 


Author Contribution

Dr. Rosemurgy, Mr. Downs, Dr. Swaid, and Dr. Ross contributed significantly to background, conception, design, drafting, and revision of this manuscript. All authors have given final approval of this manuscript for publication.


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Copyright information

© The Society for Surgery of the Alimentary Tract 2016

Authors and Affiliations

  • Alexander S. Rosemurgy
    • 1
    Email author
  • Darrell Downs
    • 1
  • Forat Swaid
    • 1
  • Sharona B. Ross
    • 1
  1. 1.Southeastern Center For Digestive Disorders and Pancreatic Cancer, Advanced Minimally Invasive & Robotic SurgeryFlorida Hospital TampaTampaUSA

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