Abstract
Introduction: Transumbilical single-incision laparoscopic surgery (SILS) offers excellent cosmetic results and may be associated with decreased postoperative pain, but it requires significant operator dexterity and the use of expensive surgical instruments. We describe a case of an 11-year-old male with severe gastroesophageal reflux disease referred to our institution for Nissen fundoplication who underwent SILS with adjunctive magnetic guidance. Methods and Results: Through a median 2-cm transumbilical incision, a SILS multiport was employed to introduce a 12-mm trocar for the laparoscope and two 5-mm trocars for the instruments. To elevate and move organs, we used two deployable magnets (single and double grasper) that were controlled through coupling with an external handheld magnet. The total operative time was 120 minutes. The patient recovered with no complications, and discharged at the second postoperative day. Conclusion: We conclude that SILS Nissen fundoplication with adjunctive magnetic guidance is a feasible procedure. Further surgical experience with this technique is warranted to assess its true benefit. No competing financial interests exist. Runtime of video: 4 mins 2 secs
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