title: Impact of minimally invasive surgery in the spectrum of current achalasia treatment options.
abstract: Minimally invasive Heller myotomy has evolved the "gold standard" procedure for achalasia in the spectrum of current treatment options. The laparoscopic technique has proved superior to the thoracoscopic approach due to improved visualization of the esophagogastric junction. Operative controversies most recently include the length of the myotomy, especially of its fun-dic part, with respect to the balance between postoperative persistent dysphagia and development of gastroesophageal reflux, as well as the type of the added antireflux procedure. Peri-operative mortality should approach 0%, and favorable long-term results can be achieved in > 90%.
authors: Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany. gockel@ach.klinik.uni-mainz.de
authors: I
authors: I
authors: Gockel
authors: G
authors: G
authors: Sgourakis
authors: D G
authors: DG
authors: Drescher
authors: H
authors: H
authors: Lang
mesh_terms: D018726:Anti-Dyskinesia Agents / Q000627:therapeutic use; D001905:Botulinum Toxins / Q000627:therapeutic use; D002404:Catheterization; D004931:Esophageal Achalasia / Q000191:economics / Q000601:surgery* / Q000628:therapy; D004945:Esophagoscopy / Q000191:economics / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy; D019060:Minimally Invasive Surgical Procedures; D011183:Postoperative Complications; D011788:Quality of Life; D012371:Robotics; D013906:Thoracoscopy
chemical_list: D018726:Anti-Dyskinesia Agents; D001905:Botulinum Toxins