title: Laparoscopic thal fundoplication with gastrostomy in children.
abstract: A technique was developed to adapt the Thal fundoplication to the laparoscopic approach. Modifications include tying an umbilical tape (as a loop) around the esophagus for retraction, interrupted fundoplication sutures, and extracorporeal gastrostomy through a trocar site. This technique was completed successfully in 10 pediatric patients.
authors.affiliation: Department of Pediatric Surgery, The Children's Hospital, Denver, CO, USA.
authors.forename: L A
authors.initials: LA
authors.lastname: Martinez-Frontanilla
authors.forename: K H
authors.initials: KH
authors.lastname: Sartorelli
authors.forename: G M
authors.initials: GM
authors.lastname: Haase
authors.forename: D P
authors.initials: DP
authors.lastname: Meagher
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005764:Gastroesophageal Reflux / Q000601:surgery*; D005774:Gastrostomy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D007223:Infant; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D011184:Postoperative Period; D013536:Suture Techniques