Laparoscopic Toupet Fundoplication in Children

Abstract

Background

: The laparoscopic approach for antireflux surgery is becoming the gold standard for children with gastroesophageal reflux disease (GERD) when surgical treatment is indicated. Preferences for a partial or a full fundoplication still relate to the surgeon's choice and experience.

Patients and Methods

: Between 1993 and 1999, we operated on 284 children with GERD. A laparoscopic Toupet fundoplication with a four-trocar technique was performed in all the cases.

Results

: All patients demonstrate clinical improvement and disappearance of the GERD. Transient postoperative nausea, pain, and diarrhea were reported occasionally. Dysphagia was unusual. Postoperative complications included three eviscerations through port wounds. Valve failure occurred in six patients.

Conclusion

: Laparoscopic Toupet fundoplication is an excellent surgical alternative in children with GERD.