Advances in pediatric surgery

Korean Association of Pediatric Surgeons (대한소아외과학회)
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Comparison between Laparoscopic and Open Nissen Fundoplication in Pediatric Patients

소아 환자의 위 주름술에 있어서 복강경과 개복술의 비교

  • Gwak, Hong-Ki (Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jung, Soo-Min (Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Suk-Koo (Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Seo, Jeong-Meen (Division of Pediatric Surgery, Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 곽홍기 (성균관대학교 의과대학 삼성서울병원 외과학교실, 소아외과) ;
  • 정수민 (성균관대학교 의과대학 삼성서울병원 외과학교실, 소아외과) ;
  • 이석구 (성균관대학교 의과대학 삼성서울병원 외과학교실, 소아외과) ;
  • 서정민 (성균관대학교 의과대학 삼성서울병원 외과학교실, 소아외과)
  • Received : 2012.08.16
  • Accepted : 2012.12.10
  • Published : 2012.12.31
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Abstract

Fundoplication is a common surgical procedure for gastroesophageal reflux Disease (GERD). Recently the procedure has been performed with increased frequency laparoscopically. The aim of this study is to compare laparoscopic Nissen fundoplication (LNF) and open Nissen fundoplication (ONF) for GERD in children. We studied retrospectively the 88 pediatric patients who underwent the Nissen fundoplication for GERD as primary antireflux surgery from 1994 and 2009. ONF was performed in 34 cases and LNF was in 54 cases. 58 patients have neurologic impairment. Time to initial food intake after the surgery were reduced in the LNF group (p= 0.032). Recurrent GERD symptom occurred in one patient in LNF group and four patients in ONF group within 1 year after the surgery (p= 0.012). There were no statistically significant differences in post operative morbidity and mortality between both groups. In conclusion, our practice of Nissen fundoplication indicates that LNF takes priority in most pediatric patients.

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