title: Thoracoscopic fundoplication.
abstract: Thoracoscopic fundoplication and hiatoplasty were performed by a videoassisted technique in a patient with longstanding pathologic gastro-oesophageal reflux, reflux oesophagitis and hiatal hernia. Ten months later the patient was asymptomatic and had normal findings by oesophageal endoscopy and 24-hour pH-monitoring. Thoracoscopic fundoplication may be useful in patients with intra-abdominal adhesions due to previous abdominal surgery. Also obese patients with large hiatal hernias and perioesophageal adhesions may benefit from the thoracoscopic approach.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
authors.forename: J A
authors.initials: JA
authors.lastname: Salo
authors.forename: T
authors.initials: T
authors.lastname: Kiviluoto
authors.forename: L
authors.initials: L
authors.lastname: Heikkilä
authors.forename: A
authors.initials: A
authors.lastname: Nemlander
authors.forename: T
authors.initials: T
authors.lastname: Ikonen
authors.forename: E
authors.initials: E
authors.lastname: Kivilaakso
mesh_terms: D000328:Adult; D005748:Gastric Fundus / Q000601:surgery*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006551:Hernia, Hiatal / Q000601:surgery; D006801:Humans; D008297:Male; D013906:Thoracoscopy / Q000379:methods*