Minilaparoscopic fundoplication: technical adaptations and initial experience

• Published in: Arquivos de gastroenterologia 2012-09, Vol.49 (3), p.223-226
• Main Authors: Dimbarre, Daniellson, de Loureiro, Paula Marcelo, Claus, Christiano, Carvalho, Gustavo, Trauczynski, Pedro, Elias, Fabiano
• Format: Article
• Language: English
• Subjects: Female; Fundoplication - methods; Fundoplicatura; GASTROENTEROLOGY & HEPATOLOGY; Gastroesophageal Reflux - surgery; Humans; Laparoscopia; Laparoscopy; Male; Procedimentos cirúrgicos minimamente invasivos; Treatment Outcome
• ISSN: 0004-2803; 1678-4219; 1678-4219; 0004-2803
• DOI: 10.1590/s0004-28032012000300011

Gastroesophageal reflux disease (GERD) is a highly prevalent disease. Treatment is divided into lifestyle modifications, medical and surgical treatment. Surgical laparoscopy is the gold standard treatment. In the last decade, there were an extensive research on procedures, less aggressive than laparoscopy and with better esthetic results. Minilaparoscopy is "reemerging" as a safe, effective and with excellent cosmetic results in selected patients treated for gastroesophageal reflux disease. We present a serie of 27 patients treated for GERD by minilaparoscopic laparoscopy. Between October 2009 July 2011 a total of 27 patients underwent fundoplication by minilaparoscopy. It is used one 10mm trocar, a telescope of 30 degrees and four 3 mm trocars at regular positions. Regular surgical steps are done with no modifications. Cardiac tape, suture needles, and eventually extracting bag, gauze, are placed and taken out through the umbilical port. With these technical adjustments, we can perform the procedure safely and effectively, similarly to standard laparoscopic technique. Of the 27 patients, 22 were female and 5 male. The average body mass index was 25.5 kg/m². Hiatal hernias were small (