Conclusions  Our new procedure is very safe and effective to create a proper Nissen fundoplication. In addition, our preliminary findings highlight the feasibility of precise localization of suture points without the need to measure the circumference of the esophagus and that LNF could be performed without a bougie. Content Type Journal ArticleDOI 10.1007/s00464-010-0936-yAuthors Hitoshi Idani, Fukuyama City Hospital Department of Surgery 5-23-1 Zao-cho Fukuyama City, Hiroshima 721-8511 JapanShinya Asami, Fukuyama City Hospital Department of Surgery 5-23-1 Zao-cho Fukuyama City, Hiroshima 721-8511 JapanTakashi Ishikawa, Fukuyama City Hospital Department of Surgery 5-23-1 Zao-cho Fukuyama City, Hiroshima 721-8511 JapanShinichiro Kubo, Fukuyama City Hospital Department...