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Laparoscopic Collis Nissen: GERD with short esophagus

Epublication WebSurg.com, Sep 2007;07(09). URL: http://websurg.com/doi/vd01en2176

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  • 2007-09-01
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This live video demonstrates the Collis-Nissen procedure performed by Dr. Bernard Dallemagne during a surgical course. The patient presented with gastro-esophageal reflux disease and was only discovered intraoperatively to have a short esophagus. The confirmation of this diagnosis and the esophageal lengthening procedure are presented in detail. This video is recommended to surgeons with an interest in upper gastro-intestinal surgery. The author places 5 trocars, directed by plain film findings that raise suspicion of a lipoma of the lower mediastinum. The author eschews the umbilical port for a port slightly above the umbilicus to accommodate the 0-degree scope. The optical port for the left hand is in the direction of hiatus. First, the author must gain traction on the gastroesophageal junction, then examine anatomy. He starts on the lesser omentum to help identify important landmarks, the first of which is the right crus.