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  • Title
  • 1. Introduction
  • 2. Access and Placement of Ports
  • 3. Mobilization of Esophagus
  • 4. Fundoplication
  • 5. Closure
  • 6. Post-op Remarks

Laparoscopic Nissen Fundoplication

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Ciro Andolfi, MD1; Marco Fisichella, MD, MBA, FACS2
1University of Chicago Pritzker School of Medicine
2VA Boston Healthcare System

General Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Access and Placement of Ports
      1. 3. Mobilization of Esophagus
        1. 4. Fundoplication
          1. 5. Closure
            1. 6. Post-op Remarks
              1. Insert Veress Needle to Insufflate Abdominal Cavity
              2. Insert Supraumbilical Trocar and Sleeve
              3. Insert Dissecting Port Trocar and Sleeve
              4. Insert Liver Retractor
              5. Insert Babcock Port Trocar and Sleeve
              6. Insert Assisting Port Trocar and Sleeve
              1. Cut Gastrohepatic Ligament
              2. Dissect Esophagus from Right and Left Crus
              3. Dissect Fundus of Stomach Towards Splenic Bed
              4. Insert Penrose to Wrap Around Esophagus
              5. Dissect Esophagus from Posterior Hiatus
              6. Repair the Hiatus
              7. Perform Shoeshine Maneuver
              1. Grasp Left and Right Parts of Fundoplication
              2. Suture the Fundoplication
              1. Remove Liver Retractor
              2. Remove Trocars and Close Port Sites

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              Authors

              Filmed At:

              VA Boston Healthcare System

              Article Information

              Publication Date
              Article ID208
              Production ID0208
              Volume2023
              Issue208
              DOI
              https://doi.org/10.24296/jomi/208