title: Laparoscopic approach to esophageal achalasia.
abstract: 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.
authors.affiliation: Department of General and Oncologic Surgery, University of Milan, Ospedale Maggiore Policlinico IRCCS, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Rosati
authors.forename: U
authors.initials: U
authors.lastname: Fumagalli
authors.forename: L
authors.initials: L
authors.lastname: Bonavina
authors.forename: A
authors.initials: A
authors.lastname: Segalin
authors.forename: M
authors.initials: M
authors.lastname: Montorsi
authors.forename: S
authors.initials: S
authors.lastname: Bona
authors.forename: A
authors.initials: A
authors.lastname: Peracchia
mesh_terms: 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