The surgical procedure for esophageal hiatal hernia consists of two parts: reconstruction of the esophageal hiatal hole and fundoplication, the latter being the key step to prevent recurrence after surgery. The traditional surgical approaches are the transthoracic Mark 1V, the transabdominal Nissen, Toupet, Hill, Dor and other types of fundoplication. Transthoracic surgery has a large incision, heavy cardiopulmonary interference, high anesthesia requirements, and most of them can only complete the repair of esophageal hiatus hernia. The implementation of fundoplication requires a separate incision in the diaphragm, which has a greater impact on respiratory function; although transthoracic surgery reduces cardiopulmonary interference, there is little room for operation at the top of the diaphragm and the incision is larger. In 1991, Dallemagne et al. first reported the laparoscopic fundoplication flapaTo.scopic nissen fundoplication1, which was rapidly promoted. It has now become the gold standard procedure for the treatment of gastroesophageal reflux disease and large hiatal or paraesophageal hernias.