Department of Surgery, Cerrahpasa Medical School, Istanbul University, Istanbul, Turkey.
J Gastrointest Surg. 2010 Jun;14(6):1035-9. doi: 10.1007/s11605-010-1183-1. Epub 2010 Mar 20.
Mustafa Kemal Atatürk, founder of the Turkish Republic, had guarded many German scientists of a Jewish descent before the Second World War. Dr. Rudolf Nissen was one of the outstanding surgeons who had served in the Turkish university hospitals. He had created an antireflux procedure which is named after his own name while he was working in our clinic, the Cerrahpaşa Hospital. From a laparoscopic approach, the Nissen fundoplication was the gold standard intervention for the surgical treatment of gastroesophageal reflux disease (GERD). Currently, video laparoscopic surgery is evolving quickly with the guidance of new technology. Single-port (SP) laparoscopic transumbilical surgery is one of the newest branches of advanced laparoscopy.
Simple or complex manipulations may be performed with SP laparoscopic transumbilical surgery. The advantages, which are gained from conventional laparoscopy, can be invigorated by an SP laparoscopic approach. The retraction technique of the liver and the optical system were the most important factors, which made the Nissen fundoplication possible via single port. Here, we report that totally laparoscopic transumbilical SP Nissen fundoplication procedure was performed in three patients for sliding hiatal hernia with GERD.
Totally laparoscopic transumbilical SP Nissen fundoplication is a safe and feasible technique for the surgical treatment of GERD.
土耳其共和国的创始人穆斯塔法·凯末尔·阿塔图尔克在第二次世界大战前曾保护过许多德国犹太裔科学家。鲁道夫·尼森博士是在土耳其大学医院工作的杰出外科医生之一。他在我们的诊所——切拉帕萨医院工作时创造了一种以自己名字命名的抗反流手术。从腹腔镜的角度来看，尼森胃底折叠术是胃食管反流病（GERD）手术治疗的金标准。目前，在新技术的指导下，视频腹腔镜手术正在迅速发展。单端口（SP）腹腔镜经脐部手术是先进腹腔镜技术的最新分支之一。
SP 腹腔镜经脐部手术可进行简单或复杂的操作。SP 腹腔镜方法可以增强传统腹腔镜的优势。肝脏的牵引技术和光学系统是通过单端口进行尼森胃底折叠术的最重要因素。在此，我们报告了三例滑动性食管裂孔疝伴 GERD 的患者行完全腹腔镜经脐部 SP 尼森胃底折叠术的经验。
完全腹腔镜经脐部 SP 尼森胃底折叠术是治疗 GERD 的一种安全可行的手术技术。
