Abstract
ABSTRACT
To minimize suturing in laparoscopic fundoplication, the use of spiral staples is explored. Before their introduction into the clinical field, the potential risks of perforation, fistulation and midterm failure of the fundoplication needed to be evaluated. The intended laparoscopic anterior hemifundoplication was replicated via open laparotomy in 20 rabbits. The procedure was shown to be safe and secure after the animals were killed at 2 months and 6 months. Thereafter, the stapled fundoplication has been performed laparoscopically in eight children with very satisfactory results. The stapled fundoplication is performed after repairing the crura and securing the esophagus below the diaphragm. The maneuver takes ∼2 min, thereby reducing operating time by ∼30 min.
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