Laparoscopic esophagomyotomy for achalasia: How i do it

Homero Rivas, Robert V Rege

Research output: Contribution to journalArticle

Abstract

Introduction: The pathophysiology, diagnosis, and treatment options for achalasia are briefly discussed, followed by a description of the minimally invasive surgical approaches to this disease, as practiced by the authors. Summary: Laparoscopic myotomy is performed routinely at our institution in the lithotomy position under endoscopic control. The techniques for performing the myotomy, the use of fundoplication, and the adaptation of this approach to use the surgical robot are described. Laparoscopic esophagomyotomy has been highly effective, durable, safe, and widely accepted by patients. There is less data about the robotic approach, but increased degrees of freedom afforded by articulation in the instruments promises finer control and possibly lower perforation rates.

Original languageEnglish (US)
Pages (from-to)542-549
Number of pages8
JournalJournal of Gastrointestinal Surgery
Volume13
Issue number3
DOIs
StatePublished - Mar 1 2009

Keywords

  • Achalasia
  • Esophageal
  • Esophagus
  • Fundoplication
  • Laparoscopy
  • Robotics

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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