title: Partial or total fundoplication (with or without division of the short gastric vessels): which is the best laparoscopic choice in GERD surgical treatment?
abstract: BACKGROUND
  Gastroesophageal reflux disease (GERD) has emerged as one of the most common diseases in the modern civilization.The immense success of laparoscopic surgery as an effective treatment of GERD has established the minimally invasive surgery as the gold standard for this condition with lower morbidity and mortality, shorter hospital stay, faster recovery, and reduced postoperative pain.
  
  
  METHODS
  Articles were sourced from PubMed and Medline, using the MeSH terms "gastroesophageal reflux disease" and "laparoscopic surgery" and "fundoplication technique." The selection of articles was based on peer review, journal, relevance, and English language.
  
  
  CONCLUSIONS
  There are some controversies with regard to the technique. First, whether total or partial fundoplication is the more appropriate treatment for GERD; second, if a total fundoplication (360 degrees) is performed, what is the effect of fundic mobilization and the division of short gastric vessels. In this review article the authors evaluate the most recent articles to establish the parameters for a "gold standard technique" in antireflux surgery.
authors.affiliation: Department of Surgery "F. Durante", Policlinico "Umberto I", University of Rome "Sapienza", Italy. filippo.tosato@uniroma1.it
authors.forename: Filippo
authors.initials: F
authors.lastname: Tosato
authors.forename: Salvatore
authors.initials: S
authors.lastname: Marano
authors.forename: Barbara
authors.initials: B
authors.lastname: Luongo
authors.forename: Giulia
authors.initials: G
authors.lastname: Paltrinieri
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Portale
authors.forename: Stefano
authors.initials: S
authors.lastname: Mattacchione
authors.forename: Marcello
authors.initials: M
authors.lastname: Bezzi
mesh_terms: D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D012086:Reoperation; D013270:Stomach / Q000098:blood supply*; D016896:Treatment Outcome