title: Pioneer Robotic Serra-Doria Operation for Recurrent Achalasia After Heller's Cardiomyotomy: A "New Quondam" Procedure.
abstract: BACKGROUND
  Recurrence of achalasia may occur in 10%-20% of cases operated by Heller's cardiomyotomy. Most of these patients will require further surgery to relieve symptoms. Major technical difficulties can be found in these reoperations.
  
  
  METHODS
  A 50-year-old female patient with relapsed idiopathic achalasia after Heller's technique was treated with an unusual procedure, for the first time in the literature, by minimally invasive access with robotic assistance.
  
  
  CONCLUSIONS
  The Serra-Doria operation allows preserving the esophagus and alleviating dysphagic symptoms with low rates of postoperative complications. The use of robotic technology is perfectly feasible and allows minimally invasive access in complex cases and reoperations.
authors.affiliation: 1 Department of Digestive Surgery, Gasstromed Institute , São Paulo, Brazil .
authors.forename: Bruno
authors.initials: B
authors.lastname: Zilberstein
authors.affiliation: 1 Department of Digestive Surgery, Gasstromed Institute , São Paulo, Brazil .
authors.forename: Maurice Youssef
authors.initials: MY
authors.lastname: Franciss
authors.affiliation: 1 Department of Digestive Surgery, Gasstromed Institute , São Paulo, Brazil .
authors.forename: Aletheia
authors.initials: A
authors.lastname: Genovesi
authors.affiliation: 2 Department of Digestive Surgery, Hospital Nove de Julho , São Paulo, Brazil .
authors.forename: Paula
authors.initials: P
authors.lastname: Volpe
authors.affiliation: 2 Department of Digestive Surgery, Hospital Nove de Julho , São Paulo, Brazil .
authors.forename: Carlos Eduardo
authors.initials: CE
authors.lastname: Domene
authors.affiliation: 1 Department of Digestive Surgery, Gasstromed Institute , São Paulo, Brazil .
authors.forename: Leandro Cardoso
authors.initials: LC
authors.lastname: Barchi
mesh_terms: D002299:Cardia / Q000601:surgery; D004931:Esophageal Achalasia / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D000074433:Myotomy; D012008:Recurrence; D012086:Reoperation; D065287:Robotic Surgical Procedures / Q000009:adverse effects / Q000379:methods*
keywords: Grondhal's cardioplasty; Serra-Doria operation; cardiomyotomy; recurrent achalasia