Video-assisted Nissen's fundoplication using a hand-access port

Summary

Minilaparotomy has been shown to maintain many of the benefits of minimally invasive therapy (MIT) in cholecystectomy and other procedures. A major loss in MIT, however, is the manual ability to palpate, dissect and suture which can be restored with hand-assist laparoscopic surgery (HALS). This report describes hand-assist fundoplication and other procedures are possible. It may also address many of the concerns in laparoscopic cancer surgery by allowing manual tumour assessment and easy specimen extraction.

Key Words:

• laparoscopy
• Nissen's fundoplication
• oesophageal reflux
• pneumoperitoneum
• oesophageal surgery
• laparoscopic device
• hand-assist laparoscopic surgery