Key anatomical considerations and clinical implications of fundoplication

ZHOU Zhe-qi; LI Yi-liang; Aikebaier&#x000B7;Aili; BAI Xin; Saiyidan&#x000B7;Nijiati; Kelimu&#x000B7;Abudureyimu

doi:10.19538/j.cjps.issn1005-2208.2026.04.11

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Chinese Journal of Practical Surgery ›› 2026, Vol. 46 ›› Issue (4) : 453-457. DOI: 10.19538/j.cjps.issn1005-2208.2026.04.11

Key anatomical considerations and clinical implications of fundoplication

ZHOU Zhe-qi ¹^,² ,
LI Yi-liang ¹^,³ ,
Aikebaier·Aili ¹^,³ ,
BAI Xin ² ,
Saiyidan·Nijiati ¹^,² ,
Kelimu·Abudureyimu ¹^,³

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Abstract

The development of fundoplication has been driven by two intertwined forces: the continuous deepening of anatomical understanding and the iterative advancement of surgical techniques. The introduction of membrane anatomy theory has further provided theoretical support for the standardization of this procedure. Key factors ensuring surgical efficacy and reducing postoperative complications such as dysphagia include precise dissection of the distal esophagus and gastric fundus, meticulous management of the short gastric vessels, and selection of the surgical approach based on the patient’s individual esophageal function. Furthermore, the robotic surgical system, with its unique advantages of clear three-dimensional vision and flexible, precise manipulation, has significantly improved the performance of crural closure and mesh fixation during hiatal hernia repair. Meanwhile, various modified fundoplication techniques, through innovative fixation strategies, not only reinforce the anti-reflux barrier but also open promising avenues for reducing the risk of postoperative hernia recurrence.

Key words

gastroesophageal reflux disease / fundoplication / hiatal hernia / anatomy

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ZHOU Zhe-qi , LI Yi-liang , Aikebaier·Aili , et al . Key anatomical considerations and clinical implications of fundoplication[J]. Chinese Journal of Practical Surgery. 2026, 46(4): 453-457 https://doi.org/10.19538/j.cjps.issn1005-2208.2026.04.11

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