The first minimal access procedures for achalasia were performed thoracoscopically, by analogy with the open Heller myotomy. As laparoscopic surgeons became facile at operating around the esophageal hiatus, it became evident that an adequate myotomy could be done laparoscopically in most cases. Today, the vast majority of laparoscopic surgeons add a partial fundoplication to their myotomy. The choice of a posterior partial fundoplication (Toupet) or an anterior partial fundoplication (Dor) remains a matter of surgeon preference and discussion.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Anselmino M, Zaninotto G, Costantini M, et al. One-year follow-up after laparoscopic Heller-Dor operation for esophageal achalasia. Surg Endosc 1997;11:3-7.
Bonavina L, Nosadinia A, Burdini R, Baessato M, Percchia A. A primary treatment of esophageal achalasia: long-term results of myotomy and Dor fundoplication. Arch Surg 1992;127:222-226.
Malthaner RA, Todd TR, Miller L. Perason FG. Long-term results in surgically managed esophageal achalasia. Ann Thorac Surg 1994;58:1343-1347.
Patti MG, Molena D, Fisichella PM, et al. Laparoscopic Heller myotomy and Dor fundopli-cation for achalasia: analysis of successes and failures. Arch Surg 2001;136:870-877.
Richards W, Torquati A, Holzman M et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg 2004;240(3):405-415.
Suggested Readings
Falkenback D, Johansson J, Oberg S, et al. Heller’s esophagomyotomy with or without a 360 degrees floppy Nissen fundoplication for achalasia. Long-term results from a prospective randomized study. Dis Esophagus 2003;16:284-290.
Farhoomand K, Connor J, Richter J. Predictors of outcome of pneumatic dilation in acha-lasia. Clin Gastroenterol Hepatol 2004;2(5):389-394.
Khajanchee Y, Kanneganti S, Leatherwood A, et al. Laparoscopic Heller myotomy with Toupet fundoplication: outcomes predictors in 121 consecutive patients. Arch Surg 2005;140(9):827-833.
Lyass S, Thoman D, Steiner J, Phillips E. Current status of an antireflux procedure in laparoscopic Heller myotomy. Surg Endosc 2003;17:554-558.
Oddsdottir M. Laparoscopic cardiomyotomy. In: Scott-Conner CEH, ed. The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy. New York: Springer-Verlag, 2006:238-245.
Oelschlager B, Chang L, Pellegrini C. Improved outcome after extended gastric myotomy for achalasia. Arch Surg 2003;138(5):490-497.
Patti M, Pellegrini C, Horgan S. Minimally invasive surgery for achalasia: an 8-year expe-rience with 168 patients. Ann Surg 1999;230:587-594.
Patti MG, Fisichella PM, Perretta S, et al. Impact of minimally invasive surgery on the treat-ment of esophageal achalasia. A decade of change. J Am Coll Surg 2003;196:698-703.
Pellegrini CA, Wetter LA, Patti MG, et al. Thoracoscopic esophagomyotomy. Initial experience with a new approach for the treatment of achalasia. Ann Surg 1992;216:291-296.
Peters J. An antireflux procedure is critical to the long-term outcome of esophageal myo-tomy for achalasia. J Gastrointest Surg 2001;5(1):17-20.
Rossetti G, Brusciano L, Amato G, et al. A total fundoplication is not an obstacle to esopha-geal emptying after Heller myotomy for achalasia: results of a long-term follow up. Ann Surg 2005;241:614-621.
Topart P, Deschamps C, Taillefer R, Duranceau A. Long-term effect of total fundoplica-tion on the myotomized esophagus. Ann Thorac Surg 1992;54:1046-1051.
West R, Hirsch D, Barelsman J, et al. Long-term results of pneumatic dilation in achalasia followed for more than 5 years. Am J Gastroenterol 2002;97;1346-1351.
Zaninotto G, Costantini M, Molena D, et al. Treatment of esophageal achalasia with laparo-scopic Heller myotomy and Dor partial fundoplication: prospective evaluation of 100 consecutive patients. J Gastrointest Surg 2000;4:282-289.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2008 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Hashimi, S., Buyske, J., Patti, M.G., Ostroff, J.W. (2008). Laparoscopic Management of Achalasia. In: Scott-Conner, C.E.H. (eds) The SAGES Manual of Strategic Decision Making. Springer, New York, NY. https://doi.org/10.1007/978-0-387-76671-3_15
Download citation
DOI: https://doi.org/10.1007/978-0-387-76671-3_15
Publisher Name: Springer, New York, NY
Print ISBN: 978-0-387-76670-6
Online ISBN: 978-0-387-76671-3
eBook Packages: MedicineMedicine (R0)