New technology for the division of short gastric vessels during laparoscopic Nissen fundoplication: A prospective randomized trial

W. S. Laycock, T. L. Trus, J. G. Hunter

Research output: Contribution to journalArticle

105 Scopus citations


Division of the short gastric vessels (SGV) is a standard component of laparoscopic Nissen fundoplications (LNF) at our institution. This study compares our original method of vessel control, multifire clip applier (MCA) and sharp division, to the Ultracision Harmonic Scalpel LCS (LCS). Twenty consecutive patients were evaluated in a randomized prospective fashion. Times for SGV division and estimated blood loss (EBL) were recorded. Cost data represent patient charges for use of either the MCA or LCS and the charge for operative time. Use of the LCS produced a significant reduction in the time required for SGV division and in the charges to the patient. We feel it is important to divide the SGV in all LNFs, and LCS use can result in significant savings of time and money.

Original languageEnglish (US)
Pages (from-to)71-73
Number of pages3
JournalSurgical endoscopy
Issue number1
StatePublished - Jan 1 1996



  • Gastroesophageal reflux
  • Harmonic Scalpel
  • Nissen fundoplication
  • Short gastric vessels

ASJC Scopus subject areas

  • Surgery

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