Laparoscopic Nissen fundoplication in the infant.

摘要: Twenty-five children weighing less than 8 kg underwent laparoscopic Nissen fundoplication for treatment of refractory gastroesophageal reflux (GER) between January 1993 and April 1995. Mean patient age was 6 months weight 5.1 kg. operative time 114 min, including gastrostomy in 20 patients. Nineteen patients are alive without evidence GER with a mean follow-up 359 days. Perioperative complications were unusual mild. There late deaths due to progression underlying disease not attributable the procedure. Laparoscopic provides effective antireflux protection very small acceptable morbidity mortality through short-term follow-up.