Robotic-Assisted Laparoscopic Redo Nissen Fundoplication. Does it Offer Advantages in Children?

Gastroesophageal reflux is very common in children and can often leads to reflux-esophagitis, peptic esophageal strictures, Barrett’s esophagus. If the conservative treatment fails a patient needs surgical treatment as well as those who suffer from complications and HH [1,2]. Fundoplication is considered a mainstay in the surgical treatment of gastro-esophageal reflux [3]. The most popular operation is laparoscopic primary Nissen fundoplication (LPNF) with the efficiency of more than 80%, and there are authors who refer to this procedure as the gold standard [1, 4]. Pediatric endoscopic surgery in children dates from 1971, the first case of laparoscopy in pediatric surgery was reported by Stephen Gans in this year, in his landmark publication, “Advances in Endoscopy of Infants and Children,” as a peritoneoscopy. The term peritoneoscopy was soon replaced by Pediatric Laparoscopy [5,6]. But the first publications of laparoscopic fundoplication in children date from the early nineties [7-9].