Modern videolaparoscopic technologies in surgical treatment of gastroesophageal reflux disease

Objective: Improving the stages of Nissen fundoplication during laparoscopic operations to improve the results of surgical treatment of patients with GERD. The results of surgical treatment of 82 patients with GERD are presented. The diagnosis was established by endoscopy, fluoroscopy and application of the international Gerd-Q questionnaire. Patients underwent surgery in the scope of cruorrhaphy and Nissen fundoplication. Taking into account the disadvantages of Nissen fundoplication, we improved the stages and introduced ways to prevent complications by using a special probe during surgery and mandatory "capture" of the esophageal-diaphragmatic ligament on the anterior wall of the esophagus during the formation of the fundoplication cuff. No specific complications related to the operation were noted. There were no fatal cases. The patients were discharged from the clinic after the operation with recovery. The long-term results were traced in 57 (69,5%) patients in the period from 6 months to 5 years after the operation. The results were considered as good, all of them felt satisfactory at the time of examination. The obtained good results, improvement of patients' quality of life justify our chosen method of complications prevention at surgical treatment of GERD