Complications of laparoscopic antireflux surgery in childhood

Abstract

Our results show that laparoscopic fundoplication is an adequate treatment for children with GERD that has a low rate of complications. When severe complications do occur, they can be treated effectively via the laparoscopic approach.

Laparoscopic Nissen fundoplication in infants and children: analysis of 106 consecutive patients with special emphasis in neurologically impaired vs. neurologically normal patients

“…The recurrence rate after laparoscopic Nissen fundoplication has been reported in the literature to range from 2.1% to 8.7% [6,10,12] overall and from 6.25% to 13% specifically in the neurologically impaired children [7,13]. However, this higher incidence of recurrence in neurologically impaired children was not seen in our series.…”

“…Laparoscopic Nissen fundoplication as treatment for GERD has become very popular since the development of minimally invasive surgery. The efficiency and safety of this procedure has been shown in several studies [6][7][8][9][10].…”

Complications and conversions of pediatric videosurgery: The Italian multicentric experience on 1689 procedures

“…We believe that the 4.6% incidence of complications in our series is comparable to that in adult laparoscopy-, in which the rate is about 4%; however, we had no mortality in our series [7][8][9][10][11][12].…”

“…As shown by our results, postsurgical complications are theoretically reduced in laparoscopy; however, the most common ones are infections, small hematomas, or epiploic evisceration [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23].…”

“…Key words: Laparoscopy --Complications --Children Reports of complications during pediatric laparoscopic procedures are seldom found in the international literature [12,22] in a case series of 5400 laparoscopic interventions, Peters [22] reported a complication rate of 5.38%, with a Veress needle complication rate of 2.6%. Multicenter studies are very important because they allow the analysis of specific problems on a large number of patients in several surgical centers [7,10,11].…”