LAPAROSCOPIC NISSEN FUNDOPLICATION WITH MINIMAL ESOPHAGEAL MOBILIZATION IN SMALL BABIES
The aim of work is a comparison results of maximal and minimal esophageal mobilization during laparoscopic Nissen fundoplication with results of open procedures in small babies. Material and methods. This study included 73 patients younger than 6 months of age who had a fundoplication as their principal surgical procedure between January 1, 2002, and December 31, 2013. The group I included 31 patients whom was performed maximal esophageal dissection. The group II consisted of 42 patients whom was performed minimal esophageal mobilization. The two groups were compared for patients demographics, operative report and postoperative parameters. Results. There were no differences in the pre- and postoperative parameters between the two groups. We found prevalence of recurrence of a gastroesophageal reflux in group of the maximal mobilization of an esophagus (12.9% against 0%; p=0.029). Conclusion. The minimal esophageal dissection reduces risk a formation of postoperative recidive of a gastroesophageal reflux.