caa a22 4500 475779851 CHVBK 20180406123641.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1007/s004640000241 doi (NATIONALLICENCE)springer-10.1007/s004640000241 Laparoscopic refundoplication in children [Elektronische Daten] [D. C. van der Zee, N. M. A. Bax, B. M. Ure] Background: Gastroesophageal fundoplication currently is one of the three most common major operations performed on infants and children by pediatric surgeons in the United States. With the advent of laparoscopic surgery, the number of gastroesophageal fundoplications has virtually exploded. Morbidity always was substantial with this operation, and laparoscopy has not changed this. We describe our results with laparoscopic refundoplication in infants and children. Methods: From December 1993 to December 1998 100 children underwent a laparoscopic 180° anterior wrap using the Thal procedure. Four children had to undergo a laparoscopic refundoplication. Two of these children were mentally handicapped. All of the children had recurrent symptoms, but only two of the four had an abnormal pH study. In three of the children, the Thal procedure was changed to a Nissen (n= 2) and Toupet (n= 1) fundoplication. One child with an intrathoracic wrap and a giant hiatal hernia underwent hernia repair with a Goretex patch and a redo-Thal. Results: In two of the children, the operation was relatively simple. For one child, the procedure had to be converted for anesthesiologic reasons. The procedure in the fourth child was more difficult because of a large hiatal hernia. Within a follow-up time of 2 to 4 years, all the children were free of pathologic gastroesophageal reflux symptoms and afterward displayed no recurrence. Conclusion: In children, laparoscopic refundoplication after a previous laparoscopic antireflux Thal procedure is feasible and does not increase morbidity. Springer-Verlag New York Inc., 2000 Key words: Children — Laparoscopy — Patch — Redofundoplication nationallicence van der Zee D. C. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut Bax N. M. A. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut Ure B. M. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1103-1104 0930-2794 14:12<1103 2000 14 464 https://doi.org/10.1007/s004640000241 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000241 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- van der Zee D. C. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut NATIONALLICENCE 700 1- Bax N. M. A. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut NATIONALLICENCE 700 1- Ure B. M. Department of Pediatric Surgery, KE 04.140.5 Wilhelmina Children's Hospital, University Medical Centre Utrecht, Post Office Box 85090, 3508 AB, Utrecht, The Netherlands, NL aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/12(2000-12-01), 1103-1104 0930-2794 14:12<1103 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer