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Laparoscopic Heller-Dor procedure for pediatric esophageal achalasia

Epublication WebSurg.com, Jun 2007;07(06). URL: http://websurg.com/doi/vd01en2145

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  • 2007-06-15
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This is a pediatric surgical video demonstrating the technique of Heller myotomy. The procedure is then concluded with a Dor fundoplication, including an anterior gastropexy. It is suitable for pediatric surgeons with an interest in laparoscopic surgery. This approach for the myotomy concludes with a fundoplication and an anterior gastropexy. The surgeon in this clip frees the anterior and lateral sides of the esophagus to proceed cranially into the mediastinum. Identification of the anterior vagus nerve is mandatory. The anterior surface of the esophagus must be almost completely free of tissue to enable this. Hook diathermy allows close dissection, retraction and coagulation. The operation continues with monopolar diathermy to clear the tissue from the anterior surface of the stomach.