Thoracoscopic fundoplication.
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.
Salo
J A
JA
Department of Thoracic and Cardiovascular Surgery, Helsinki University Central Hospital, Finland.
Kiviluoto
T
T
Heikkilä
L
L
Nemlander
A
A
Ikonen
T
T
Kivilaakso
E
E
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*