Outcome of Laparoscopic Nissen Fundoplication in Children: Zagazig University Hospitals Experience

Gastroesophageal reflux disease (GERD) is a common problematic condition in paediatrics. There are numerable surgical procedures. However, none of them is found to be superior to other. We aim to assess the outcome of laparoscopic Nissen fundoplication in paediatric age group with severe GERD.: A prospective cohort study included45 patients with GERD (6 patients were neurologically im-paired) who were admitted in our centerin the time period from May 2019 to march 2021. All patients were treated by laparoscopic Nissen fundoplication.: A total of 45 patients who undergone laparoscopic Nissen fundoplication were followed up for 6 months following surgery. The median age at operation was 4 years (range: 1–12 years), with a male predominance (60%). The mean operative time was 110.87 ± 22.99 min early in the course which is dropped to 88.6 ± 5.46 min in last 10 cases. The mean postoperative hospital stay was 4 days. Resumption of regular feedings began on postoperative day 2. Intraopera-tive complications included: one patient had pleural injury (2.2%) which was treated with intercostal chest tube with no consequences on the procedure. One patient (2.2%) had esophageal injury. Three patients (6.6%) were converted to an open approach in the beginning of the course; one case due to huge hernia sac with no clear anatomical filed and the second case due to esophageal injury and the third case due to anesthetic reason. Laparoscopic Nissen fundoplication is safe and efficient procedure for treating gastroesophageal reflux disease in children.