title: Collis-Nissen gastroplasty for short oesophagus.
abstract: The Collis-Nissen procedure is performed for the surgical treatment of 'true short oesophagus'. When this condition is strongly suspected radiologically, the patient is placed in the 45° left lateral position on the operating table with the left chest and arm lifted to perform a thoracostomy in the V-VI space, posterior to the axillary line. The hiatus is opened and the distal oesophagus is widely mobilized. With intraoperative endoscopy, the position of the oesophago-gastric junction in relationship to the hiatus is determined and the measurement of the length of the intra-abdominal oesophagus is performed to decide either to carry out a standard anti-reflux procedure or to lengthen the oesophagus. If the oesophagus is irreversibly short ('true short oesophagus'), the short gastric vessels are divided and the gastric fundus is mobilized. An endostapler is introduced into the left chest. The left thoracoscopic approach is suitable to control effectively the otherwise blind passage of the endostapler into the mediastinum and upper abdomen (if a second optic is not used). The tip of the stapler is clearly visible while 'walking' on the left diaphragm. The Collis gastroplasty is performed over a 46 Maloney bougie. A floppy Nissen fundoplication and the hiatoplasty complete the procedure.
authors.affiliation: Division of Thoracic Surgery, Centre for the Study and Research on Diseases of the Esophagus, Alma Mater Studiorum - University of Bologna, GVM Care and Research, Cotignola, Italy Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Bologna, Italy PhD Course in Cardio-Nephro-Thoracic Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy sandro.mattioli@unibo.it.
authors.forename: Sandro
authors.initials: S
authors.lastname: Mattioli
authors.affiliation: Division of Thoracic Surgery, Centre for the Study and Research on Diseases of the Esophagus, Alma Mater Studiorum - University of Bologna, GVM Care and Research, Cotignola, Italy.
authors.forename: Marialuisa
authors.initials: M
authors.lastname: Lugaresi
authors.affiliation: Division of Thoracic Surgery, Centre for the Study and Research on Diseases of the Esophagus, Alma Mater Studiorum - University of Bologna, GVM Care and Research, Cotignola, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Ruffato
authors.affiliation: Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Bologna, Italy.
authors.forename: Niccolò
authors.initials: N
authors.lastname: Daddi
authors.affiliation: Department of Medical and Surgical Sciences (DIMEC), Alma Mater Studiorum - University of Bologna, Bologna, Italy.
authors.forename: Massimo Pierluigi
authors.initials: MP
authors.lastname: Di Simone
authors.affiliation: Division of Thoracic Surgery, Centre for the Study and Research on Diseases of the Esophagus, Alma Mater Studiorum - University of Bologna, GVM Care and Research, Cotignola, Italy PhD Course in Cardio-Nephro-Thoracic Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.
authors.forename: Ottorino
authors.initials: O
authors.lastname: Perrone
authors.affiliation: Cardio-Thoracic Radiology Unit, Policlinico Sant'Orsola-Malpighi, University of Bologna, Bologna, Italy.
authors.forename: Stefano
authors.initials: S
authors.lastname: Brusori
mesh_terms: D004947:Esophagus / Q000002:abnormalities* / Q000601:surgery; D005500:Follow-Up Studies; D018662:Fundoplication / Q000379:methods*; D005764:Gastroesophageal Reflux / Q000601:surgery*; D015391:Gastroplasty / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D017792:Surgical Stapling; D016896:Treatment Outcome
keywords: Gastro-oesophageal reflux disease; Hiatal hernia; Minimally invasive surgery; Oesophageal diseases; Oesophageal surgery; Short oesophagus