Laparoscopic Nissen Fundoplication

  • B. Dallemagne


On a long-term evaluation, we feel that laparoscopic Nissen fundoplication is able to reproduce the results of open fundoplication as demonstrated in some studies. Our recent study of 100 patients at 10 years after laparoscopic fundoplication demonstrates a 90% rate of reflux control, which is comparable to the open long term results (paper submitted to publication).

Some randomized short term trials have demonstrate that after open operations, there are statistically more complains about scars. The other parameters seem to be equivalent: control of symptoms, side effects. But, we must keep in mind that these results are obtained, in the laparoscopic group, with a reduced mortality and morbidity rate, shorter hospital stay and sick leave and a lower incidence of incisional complications. There is also, a substantial reduction in the rate of incidental splenectomies, as they are reported in the open series (0–8%).

In summary, if long-term series confirm the results obtained in dedicated centres, laparoscopic Nissen fundoplication should become the “gold standard” of treatment for gastro -oesophageal reflux disease in appropriately investigated and selected patients.


Gastric Fundus Laparoscopic Fundoplication Short Gastric Vessel Short Esophagus Left Crus 
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Copyright information

© Springer-Verlag/Wien 2006

Authors and Affiliations

  • B. Dallemagne
    • 1
  1. 1.Département de Chirurgie DigestiveCHC — Les Cliniques Saint JosephLiegeBelgium

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