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Laparoscopic Heller procedure for achalasia

B Dallemagne, MD J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Mar 2006;06(03). URL: http://websurg.com/doi/vd01en1924

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  • 2006-03-01
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This video demonstrates a limited laparoscopic Heller's myotomy without a wrap in an 86 year-old lady with achalasia and large esophageal diverticulum. The surgeon provides a good presentation of how to minimize the dissection around the esophageal hiatus to avoid the need for an anti-reflux procedure and to perform a Heller's myotomy limited to the distal esophagus and the lower esophageal sphincter and stopping on the proximal gastric wall. A combination of electrocautery and ultrasonic scissors is used. This is a good video for an uncomplicated case of limited Heller's myotomy, showing the major landmarks and surgical approach.