Abstract
PURPOSE: Transthoracic Belsey fundoplasty is associated with lower incidence of gas bloat and dysphagia compared to the Nissen wrap. However Belsey Mark IV fundoplasty has rarely been considered in patients with gastroesophageal reflux disease due to the fact that it is performed via thoracotomy. Minimally invasive techniques for performing the complex procedure through via chest or abdomen have not been successful. The 3-D visualization, greater dexterity, more accurate dissection of the da Vinci surgical robot may facilitate a laparoscopic approach to the Belsey Mark IV procedure.
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