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Erschienen in: European Surgery 1/2018

26.01.2018 | short communication

An improved laparoscopic technique for myotomy and fundoplication in patients with achalasia

verfasst von: Trevor J. D’Netto, MBBS (Hons), Gregory L. Falk, MBBS FRACS FACS, Sophia C. Little, B. AVBS (Hons I)

Erschienen in: European Surgery | Ausgabe 1/2018

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Summary

Background

Achalasia is preferentially treated by esophageal myotomy. We present a potentially more secure technique of myotomy and fundoplication incorporating a three-stitch cardiopexy on the right of the esophagus and a left lateral fixation at the angle of His.

Method

The process of dissection, fixation and repair is described in detail using intraoperative photographs to illustrate each step.

Conclusion

This technique is especially suited to achalasia patients with abnormalities of the hiatal anatomy.
This paper offers an improvement to a well-practiced technique, which is presented in significant detail. It is of particular interest as it may improve outcomes for achalasia treatment thanks to a more secure technique.
Literatur
1.
Zurück zum Zitat Chino O, Makuuchi H, Ozawa S, et al. Multiple early carcinomas of the esophagus associated with achalasia treated by endoscopic submucosal dissection. Ann Cancer Res Ther. 2014;22(1):1–5. CrossRef Chino O, Makuuchi H, Ozawa S, et al. Multiple early carcinomas of the esophagus associated with achalasia treated by endoscopic submucosal dissection. Ann Cancer Res Ther. 2014;22(1):1–5. CrossRef
Metadaten
Titel
An improved laparoscopic technique for myotomy and fundoplication in patients with achalasia
verfasst von
Trevor J. D’Netto, MBBS (Hons)
Gregory L. Falk, MBBS FRACS FACS
Sophia C. Little, B. AVBS (Hons I)
Publikationsdatum
26.01.2018
Verlag
Springer Vienna
Erschienen in
European Surgery / Ausgabe 1/2018
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-017-0510-0

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