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Title
1. Introduction
2. Access and Placement of Ports
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a. Insert Veress Needle to Insufflate Abdominal Cavity
b. Insert Supraumbilical Trocar and Sleeve
c. Insert Dissecting Port Trocar and Sleeve
d. Insert Liver Retractor
e. Insert Babcock Port Trocar and Sleeve
f. Insert Assisting Port Trocar and Sleeve
3. Mobilization of Esophagus
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a. Cut Gastrohepatic Ligament
b. Dissect Esophagus from Right and Left Crus
c. Dissect Fundus of Stomach Towards Splenic Bed
d. Insert Penrose to Wrap Around Esophagus
e. Dissect Esophagus from Posterior Hiatus
f. Repair the Hiatus
g. Perform Shoeshine Maneuver
4. Fundoplication
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a. Grasp Left and Right Parts of Fundoplication
b. Suture the Fundoplication
5. Closure
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a. Remove Liver Retractor
b. Remove Trocars and Close Port Sites
6. Post-op Remarks
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Laparoscopic Nissen Fundoplication
Ciro Andolfi, MD
1
;
Marco Fisichella, MD, MBA, FACS
2
1
University of Chicago Pritzker School of Medicine
2
VA Boston Healthcare System
Tags:
General Surgery
Main Text
Procedure Outline
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Authors
Ciro Andolfi, MD
Marco Fisichella, MD, MBA, FACS
Filmed At:
VA Boston Healthcare System
Article Information
Publication Date
5/25/2023
Article ID
208
Production ID
0208
Volume
2023
Issue
208
DOI
https://doi.org/10.24296/jomi/208