Comparison of laparoscopic Toupet and laparoscopic Nissen fundoplications in neurologically normal children

Go Miyano, Masaya Yamoto, Hiromu Miyake, Masakatsu Kaneshiro, Keiichi Morita, Hiroshi Nouso, Mariko Koyama, Manabu Okawada, Takashi Doi, Hiroyuki Koga, Geoffrey J. Lane, Koji Fukumoto, Atsuyuki Yamataka, Naoto Urushihara

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1 Citation (Scopus)

Abstract

INTRODUCTION: We compared laparoscopic Toupet fundoplication (LTF) and laparoscopic Nissen fundoplication (LNF) in neurologically normal children.

METHODS: Forty neurologically normal children who were followed up for more than 3 years after LTF (n = 22) or LNF (n = 18) were reviewed retrospectively. LTF and LNF were performed between 2006 and 2012.

RESULTS: There were no significant differences in gender (LTF, 15 male and 7 female patients; LNF:, 12 male and 6 female patients), mean age at surgery (LTF vs LNF: 2.5 vs 2.3 years), mean weight at surgery (LTF vs LNF: 9.6 vs 8.9 kg), preoperative symptoms, preoperative pH monitoring (pH <4) (LTF vs LNF: 26.7% vs 21.8%), mean operative time (LTF vs LNF: 117 vs 126 min), postoperative recommencement of enteral feeding (LTF vs LNF: 3.7 vs 3.8 days), or duration of hospitalization (LTF vs LNF: 5.5 vs 6.3 days). Intraoperative complications were esophageal trauma (LTF; n = 1; 4.5%) and liver trauma (LNF; n = 1; 5.6%) (P = 0.70). Post-LTF complications were wrap stenosis (n = 1; 4.5%), and post-LNF complications were wrap stenosis (n = 1; 5.5%) and gastric outlet obstruction (n = 1; 5.5%) (P = 0.43); all were managed conservatively. No case required conversion to open repair. There was no recurrence after LTF, but there were three cases (16.7%) after LNF (P = 0.08). Reoperation was performed at 4, 11, and 13 months, respectively.

CONCLUSION: Despite LTF and LNF appearing to be equally effective, three LNF cases required reoperation.

Original languageEnglish
Pages (from-to)129-132
Number of pages4
JournalAsian journal of endoscopic surgery
Volume11
Issue number2
DOIs
Publication statusPublished - May 1 2018
Externally publishedYes

Keywords

  • Neurologically normal
  • Nissen fundoplication
  • Toupet fundoplication

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Miyano, G., Yamoto, M., Miyake, H., Kaneshiro, M., Morita, K., Nouso, H., Koyama, M., Okawada, M., Doi, T., Koga, H., Lane, G. J., Fukumoto, K., Yamataka, A., & Urushihara, N. (2018). Comparison of laparoscopic Toupet and laparoscopic Nissen fundoplications in neurologically normal children. Asian journal of endoscopic surgery, 11(2), 129-132. https://doi.org/10.1111/ases.12430