title: How to avoid esophageal perforation while performing laparoscopic dissection of the hiatus.
abstract: An increasing number of surgeons attempt advanced laparoscopic procedures, involving the distal esophagus such as Nissen fundoplication, truncal vagotomy, and Heller's myotomy. At this time, there are probably as many techniques as there are surgeons. The authors have tried to provide a "ready to use" universal strategy that details how to approach the distal esophagus while avoiding the dangerous pitfalls of surgery in that area.
authors.affiliation: Department of Gastrointestinal Surgery, Saint-Pierre Hospital, Brussels, Belgium.
authors.forename: G B
authors.initials: GB
authors.lastname: Cadière
authors.forename: J
authors.initials: J
authors.lastname: Himpens
authors.forename: J
authors.initials: J
authors.lastname: Bruyns
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D004939:Esophageal Perforation / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D005764:Gastroesophageal Reflux / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D020706:Laparoscopes; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008297:Male; D008875:Middle Aged