caa a22 4500 475779622 CHVBK 20180406123640.0 cr unu---uuuuu 170329e20000701xx s 000 0 eng 10.1007/s004640000143 doi (NATIONALLICENCE)springer-10.1007/s004640000143 Complications of laparoscopic antireflux surgery in childhood [Elektronische Daten] [C. Esposito, P. Montupet, G. Amici, P. Desruelle] Background: The aim of this study was to assess the complications associated with the laparoscopic treatment of gastroesophageal reflux disease (GERD) in children. Methods: From March 1992 to March 1998, we used the laparoscopic approach to treat 289 children affected by gastroesophageal reflux disease. The patients' ages ranged between 4 months and 17 years (median, 4.3 years), and their body weight ranged between 5 and 52 kg. In 148 children (51.3%), we adopted a Nissen-Rossetti procedure and in 141 (48.7%) a Toupet technique. Results: The duration of surgery ranged between 40 and 180 min (median, 70). There were no deaths and no anesthesiological complications in our series. We recorded 15 (5.1%) intraoperative complications: six pleural perforations, four lesions of the posterior vagus nerve, two esophageal perforations, two gastric perforations, and one pericardiac perforation. Conversion to open surgery was necessary in only four cases (1.3%). We recorded 10 (3.4%) postoperative complications: one peritonitis due to an esophageal perforation not detected during the intervention that required a reoperation, five cases of herniation of the epiploon through a trocar orifice, three cases of dysphagia that disappeared spontaneously after a few months, and one case of delayed gastric emptying that subsequently required a pyloroplasty. We had six recurrences of GERD (2.1%). In two cases, a new fundoplication was performed using the laparoscopic approach; in the other four, the GERD was controlled with medical therapy. Conclusion: Our results show that laparoscopic fundoplication is an adequate treatment for children with GERD that has a low rate of complications. When severe complications do occur, they can be treated effectively via the laparoscopic approach. Springer-Verlag New York Inc., 2000 Key words: Antireflux surgery — Children — Complications — Gastroesophageal reflux disease (GERD) — Laparoscopy nationallicence Esposito C. Division of Pediatric Surgery, Federico II University and Magna Praecia University of Catanzaro, Via Pansini 5, 80131 Naples, Italy, Italy aut Montupet P. Pediatric Surgical Unit, Private Hospital CCBB, Boulogne Billancourt, Bd. de Billancourt 13, Boulogne, France, France aut Amici G. University of Ancona, Via Corridoni 11 Ancona, Italy, Italy aut Desruelle P. Pediatric Surgical Unit, Private Hospital CCBB, Boulogne Billancourt, Bd. de Billancourt 13, Boulogne, France, France aut Surgical Endoscopy Springer-Verlag 14/7(2000-07-01), 622-624 0930-2794 14:7<622 2000 14 464 https://doi.org/10.1007/s004640000143 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000143 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Esposito C. Division of Pediatric Surgery, Federico II University and Magna Praecia University of Catanzaro, Via Pansini 5, 80131 Naples, Italy, Italy aut NATIONALLICENCE 700 1- Montupet P. Pediatric Surgical Unit, Private Hospital CCBB, Boulogne Billancourt, Bd. de Billancourt 13, Boulogne, France, France aut NATIONALLICENCE 700 1- Amici G. University of Ancona, Via Corridoni 11 Ancona, Italy, Italy aut NATIONALLICENCE 700 1- Desruelle P. Pediatric Surgical Unit, Private Hospital CCBB, Boulogne Billancourt, Bd. de Billancourt 13, Boulogne, France, France aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/7(2000-07-01), 622-624 0930-2794 14:7<622 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer