6533b861fe1ef96bd12c456f

RESEARCH PRODUCT

Impact of Minimally Invasive Surgery in the Spectrum of Current Achalasia Treatment Options

Hauke LangDaniel DrescherGeorge SgourakisInes Gockel

subject

Myotomymedicine.medical_specialtyBotulinum Toxinsmedicine.medical_treatmentAchalasiaCatheterizationPostoperative Complicationsotorhinolaryngologic diseasesHumansMinimally Invasive Surgical ProceduresMedicineEsophagogastric junctionIntraoperative ComplicationsHeller myotomyAnti-Dyskinesia Agentsbusiness.industryThoracoscopyGold standardTreatment optionsRoboticsmedicine.diseaseDysphagiadigestive system diseasesSurgeryEsophageal AchalasiaInvasive surgeryQuality of LifeLaparoscopySurgeryEsophagoscopymedicine.symptombusiness

description

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 fundic 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. Perioperative mortality should approach 0%, and favorable long-term results can be achieved in > 90%.

yearjournalcountryeditionlanguage
2011-07-09Scandinavian Journal of Surgery
https://doi.org/10.1177/145749691110000202