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KMID : 0978820020050020206
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2002 Volume.5 No. 2 p.206 ~ p.210
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Laparoscopic Nissen Fundoplication for Neonate with Sliding Esophageal Hiatal Hernia
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권수인/Kwon SI
정상호/김종태/정은정/이영준/홍순찬/최상경/하우송/박순태/Joeng SH/Kim JT/Chung EJ/Lee YJ/Hong SC/Choi SK/Ha WS/Park ST
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Abstract
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With the recent advances in insruments and techniques, laparoscopic procedures have extended to neonates with various congenital anomalies. Authors reports a 8-days old boy with sliding esophageal hiatal hernia, treated successfully by the laparoscopic Nissen fundoplication. The technique and its potential role in the treatment of symptomatic gastroesophageal reflux disease are described. One 5 mm-30o camera port and four 5-mm working ports were used for access to the peritoneal cavity. Two intracorporeal stitches were applied for hiatoplasty and additional three sutures were done to wrap the gastric fundus 360 degrees around. Postoperative course was uneventful. Authors concluded that Nissen fundoplication with sliding esophageal hiatal hernia can be performed safely and effectively with the laparoscope even for neonate or early infants.
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