Toupet fundoplication

Abstract

Laparoscopic Toupet fundoplication has been successful in large series of pediatric patients managed for gastroesophageal reflux disease. The technique can be performed as a three- or four- port technique. The chapter explains the procedural options in three- and four port laparoscopic Toupet fundoplication and outlines the operation room setup, positioning of the patient, special instruments required for the procedure and the port placement sites. The indications, contraindications, preoperative considerations and technical notes for laparoscopic Toupet fundoplication have also been listed. Possible procedural variations have been outlined. The surgical procedure for three- and four- port laparoscopic Toupet fundoplication has been explained using sequential high quality images. © 2009 Springer-Verlag Berlin Heidelberg.