Laparoscopic esophagomyotomy with dor anterior fundoplication in a child with achalasia.
Laparoscopic myotomy with anterior fundoplication was successfully performed on a 12-year-old boy with esophageal achalasia. After completion of a longitudinal esophagocardiomyotomy approximately 6 cm in length, a 180 degrees fundic patch was sutured anteriorly to the myotomized esophagus according to the Dor-Gavriliu technique. The patient showed a rapid and uneventful recovery with complete resolution of his preoperative symptoms. The nonobstructive antireflux procedure can be safely performed concomitantly with another surgery, even in a pediatric patient.
Nakajima
K
K
Department of Pediatric Surgery, Osaka University Medical School, Suita, Japan.
Wasa
M
M
Kawahara
H
H
Soh
H
H
Taniguchi
E
E
Ohashi
S
S
Okada
A
A
D002648:Child; D004931:Esophageal Achalasia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D018662:Fundoplication / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D013536:Suture Techniques