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  • 1568
  • 2006-07-03

Totally laparoscopic Collis-Nissen operation for shortened esophagus

Epublication WebSurg.com, Jul 2006;06(07). URL:
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This video demonstrates a laparoscopic Collis-Nissen in a patient with a large hiatal hernia and shortened esophagus. The surgeon demonstrates the resection of the hernia sac and extensive mobilization of the esophagus through the hiatus to achieve an adequate length of intra-abdominal esophagus. Despite this, the esophagus was too short and the surgeon performs a Collis gastroplasty using the wedge gastrectomy technique over a 52 French bougie. A 2.5cm of tension-free intra-abdominal esophagus is achieved. The hiatus is repaired with interrupted non-absorbable sutures inserted posteriorly as well as an additional suture inserted anteriorly to the esophagus. The posterior repair is reinforced with use of a porcine biological mesh. A standard Nissen fundoplication is performed.