{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T12:22:45Z","timestamp":1756383765022},"reference-count":9,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T00:00:00Z","timestamp":1440460800000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2015,8]]},"abstract":"Abstract<\/jats:title>Introduction<\/jats:title>We report a case of a 1.8\u2010kg infant who had laparoscopic T<\/jats:styled-content>oupet fundoplication (LTF<\/jats:styled-content>) using the A<\/jats:styled-content>irS<\/jats:styled-content>eal I<\/jats:styled-content>ntelligent F<\/jats:styled-content>low S<\/jats:styled-content>ystem and A<\/jats:styled-content>nchor P<\/jats:styled-content>ort (AP<\/jats:styled-content>).<\/jats:p><\/jats:sec>Materials and Surgical Technique<\/jats:title>Our case had severe gastroesophageal reflux in association with genetic and cardiac anomalies. Despite the patient being continuously fed, persistent vomiting caused failure to thrive, and LTF<\/jats:styled-content> was performed at 4\u2009months of age when he weighed 1.8\u2009kg. The A<\/jats:styled-content>irS<\/jats:styled-content>eal I<\/jats:styled-content>ntelligent F<\/jats:styled-content>low S<\/jats:styled-content>ystem is a novel laparoscopic CO2<\/jats:sub><\/jats:styled-content> insufflation system that improves the visual field by constantly evacuating smoke and providing a more stable pneumoperitoneum. The AP<\/jats:styled-content> is a recently developed, stretchable, elastomeric, low\u2010profile cannula. Three 5\u2010mm AP<\/jats:styled-content> were inserted: one subumbilically for the scope and one in both the right and left upper abdomen for the surgeon. A 5\u2010mm A<\/jats:styled-content>irS<\/jats:styled-content>eal trocar was inserted in the left lower abdomen for the assistant. The gastrosplenic ligament was dissected free, and the intra\u2010abdominal esophagus was prepared. A posterior hiatoplasty was performed, followed by the 270\u00b0 fundoplication. During the fundoplication, the esophagus was fixed to the crus and then the right and left wraps were fixed to the esophagus. Pneumoperitoneum was maintained stably throughout the LTF<\/jats:styled-content> procedure, with optimal operative field. Total operating time for LTF<\/jats:styled-content> was 90\u2009min. Body temperature dropped from 37.4\u00b0C to 35.7\u00b0C during pneumoperitoneum but resolved once pneumoperitoneum was ceased. Postoperative progress was uneventful, and an upper gastrointestinal study on postoperative day 2 showed no residual gastroesophageal reflux.<\/jats:p><\/jats:sec>Discussion<\/jats:title>We believe the A<\/jats:styled-content>irS<\/jats:styled-content>eal I<\/jats:styled-content>ntelligent F<\/jats:styled-content>low S<\/jats:styled-content>ystem and AP<\/jats:styled-content> contributed to the successful completion of LTF<\/jats:styled-content> in a 1.8\u2010kg infant.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12182","type":"journal-article","created":{"date-parts":[[2015,8,25]],"date-time":"2015-08-25T11:12:06Z","timestamp":1440501126000},"page":"357-360","source":"Crossref","is-referenced-by-count":6,"title":["Laparoscopic Toupet Fundoplication using an Air Seal Intelligent Flow System and Anchor Port in a 1.8\u2010kg infant: A Technical Report"],"prefix":"10.1111","volume":"8","author":[{"given":"Go","family":"Miyano","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiichi","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masakatsu","family":"Kaneshiro","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromu","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Nouso","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaya","family":"Yamoto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariko","family":"Koyama","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reiji","family":"Nakano","sequence":"additional","affiliation":[{"name":"Department of Neonatology Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuhiko","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Neonatology Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Fukumoto","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Urushihara","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,8,25]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(93)90231-9"},{"key":"e_1_2_5_3_1","first-page":"138","article-title":"Laparoscopic Nissen fundoplication: Preliminary report","volume":"1","author":"Dallemagne B","year":"1991","journal-title":"Surg Laparosc Endosc"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2434-x"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2012.0632"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1089\/end.2009.0376"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2013.0299"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-008-0025-7"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2010.02.078"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0029-1220680"}],"container-title":["Asian Journal of Endoscopic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fases.12182","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/ases.12182","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T21:01:00Z","timestamp":1696280460000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/ases.12182"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,8]]},"references-count":9,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,8]]}},"alternative-id":["10.1111\/ases.12182"],"URL":"https:\/\/doi.org\/10.1111\/ases.12182","archive":["Portico"],"relation":{},"ISSN":["1758-5902","1758-5910"],"issn-type":[{"value":"1758-5902","type":"print"},{"value":"1758-5910","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,8]]}}}