Nicolau A E
Clinica de Chirurgie, Spitalul Clinic de Urgenţă, Bucureşti.
Chirurgia (Bucur). 2010 Mar-Apr;105(2):229-34.
We describe the technique of the laparoscopic posterior partial fundoplication used by us for the treatment of gastroesophageal reflux disease. We use the division of short gastric vessels for the mobilisation of the gastric fundus in addition to the Toupet partial posterior fundoplication modified by Coster. The fundoplication is achived with only 5 stiches, 3 for the right hemivalve and 2 for the left one. We also present the advantages, the indications, the contraindications and the main complications of the procedure.
我们描述了我们用于治疗胃食管反流病的腹腔镜后部分胃底折叠术的技术。除了经科斯特改良的图佩特部分后胃底折叠术外,我们还采用切断胃短血管来游离胃底。胃底折叠术仅用5针完成,右侧半叶用3针,左侧用2针。我们还介绍了该手术的优点、适应症、禁忌症和主要并发症。