Partial Fundoplication

What is Partial Fundoplication?

In this procedure, which is performed laparoscopically using the da Vinci® robotic surgical system, your surgeon builds a new lower esophageal sphincter (LES) by wrapping the upper portion of the stomach around the lowest point of the esophagus. The new LES prevents reflux of stomach acid into the esophagus.

What is the difference between Partial and Nissen Fundoplication?

In a Dor (anterior) partial fundoplication, the doctor will wrap the upper portion of the stomach halfway (180°) around the esophagus.

In a Toupet (posterior) partial fundoplication, the doctor will wrap the upper portion of the stomach 3/4 of the way (270°) around the esophagus.

In a Nissen fundoplication, your doctor will wrap the upper portion of the stomach all the way (360°) around. 

The new LES created in the partial procedures is not quite as tight as the LES created during the Nissen procedure. Your doctor can help you understand which approach is most appropriate for your symptoms. 

Is it difficult to recover from this surgery?

Advances in minimally invasive, robot-assisted surgery mean that patients recover much more quickly from surgery. Most patients are in the hospital for one night and can return to work within a week. Many experience only minimal discomfort and few side effects. This is much easier than recovery from traditional surgery, which requires a ten-day hospital stay and approximately six weeks of recovery.