title: Laparoscopic Nissen fundoplication.
abstract: The dissection is started performing a crural dissection with visualization and preservation of both vagus nerves, followed by circumferential dissection of the esophagus at the gastro-esophageal junction. Adequate intra-mediastinal mobilization of the esophagus is performed to obtain 3-4 cm of intra-abdominal esophagus without undue downward traction on the cardia or stomach. The gastric fundus is then mobilized through adequate short gastric vessel division. The left and right pillars of the right diaphragmatic crus are approximated using interrupted sutures. A short (≪2 cm), floppy 360° fundoplication anchored to the esophagus is created.
authors.affiliation: Department of Thoracic Surgery, UZ Gasthuisberg, Herestraat 49, 3000 Leuven, Belgium.
authors.forename: Philippe
authors.initials: P
authors.lastname: Nafteux
authors.forename: Willy
authors.initials: W
authors.lastname: Coosemans
authors.forename: Paul
authors.initials: P
authors.lastname: De Leyn
authors.forename: Dirk
authors.initials: D
authors.lastname: Van Raemdonck
authors.forename: Herbert
authors.initials: H
authors.lastname: Decaluwé
authors.forename: Georges
authors.initials: G
authors.lastname: Decker
authors.forename: Toni
authors.initials: T
authors.lastname: Lerut