The respiratory advantage of laparoscopic nissen fundoplication

Revision Nissen fundoplication can be completed laparoscopically with a low rate of complications: a single-institution experience with 72 children

“…Although there is no control group, we suspect that the rate of pulmonary complications is lower than would be expected after laparotomy in patients with this degree of comorbidity. We believe that this is likely because of improved pulmonary toilet owing to decreased postoperative pain seen with laparoscopy as has been shown in primary fundoplication [12].…”

Outcome After Laparoscopic Fundoplication in Children Under 1 Year

“…Improvement in the pulmonary function in children post-fundoplication is consistent with the findings of Rothenberg and Powers. [24][25][26] Therefore, fundoplication is justifiable in infants requiring continued respiratory support and documented reflux.…”

Position paper on laparoscopic antireflux operations in infants and children for gastroesophageal reflux disease

“…Powers and colleagues [18] performed a retrospective review and compared the outcomes of the laparoscopic group to the open group. The study groups were significantly different in that children in the laparoscopic group were significantly older (74.4 vs 42.8 months) and larger (22.3 vs 11.5 kg).…”