Laparoscopic approach to esophageal achalasia.
Certain technical details are considered important to ease the laparoscopic performance of a Heller myotomy combined with a Dor antireflux procedure for esophageal achalasia. A special emphasis is given to intraoperative esophagoscopy combined with a mild balloon distension of the esophagogastric junction. These maneuvers prove helpful in identifying the esophagogastric region, easing the myotomy, and controlling its completeness.
Rosati
R
R
Department of General and Oncologic Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Italy.
Fumagalli
U
U
Bonavina
L
L
Segalin
A
A
Montorsi
M
M
Bona
S
S
Peracchia
A
A
D000293:Adolescent; D000328:Adult; D000368:Aged; D002404:Catheterization; D003680:Deglutition Disorders / Q000601:surgery; D004931:Esophageal Achalasia / Q000601:surgery*; D004943:Esophagogastric Junction / Q000601:surgery; D004945:Esophagoscopy; D004947:Esophagus / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D018662:Fundoplication; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods*; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D012008:Recurrence