Laparoscopic heller cardiomyotomy for esophageal achalasia. Initial results

ABSTRACT

Laparoscopic Heller cardiomyotomy is replacing open surgery for esophageal achalasia. The aim of the present study was to evaluate the initial results of laparoscopic Heller cardiomyotomy. Sixteen patients [9 women and 7 men, mean age of 45 +/- 11.3 years and mean duration of symptoms of 5.2 +/- 4.5 years], who fulfilled the clinical, radiographic, endoscopic and manometric criteria for a diagnosis of esophageal achalasia, underwent laparoscopic myotomy with Dor fundoplication. Follow up to one year was complete in 14 patients. Laparoscopic Heller myotomy with Dor fundoplication is a highly effective and safe treatment for achalasia and preventing simultaneous gastroesophageal reflux. The outcome of the procedure is related to the preoperative stage of the disease on the esophagogram