Laparoscopic Heller Myotomy and Dor Fundoplication: How I Do It?

J Laparoendosc Adv Surg Tech A. 2020 Jun;30(6):627-629. doi: 10.1089/lap.2020.0157. Epub 2020 Apr 20.

Abstract

Achalasia is a primary esophageal motility disorder characterized by lack of esophageal peristalsis and partial or absent relaxation of the lower esophageal sphincter in response to swallowing. Available treatment modalities are not curative but rather intend to relieve patient' symptoms. A laparoscopic Heller myotomy with Dor fundoplication is associated with high clinical success rates and low incidence of postoperative reflux. A properly executed operation following critical surgical steps is key for the success of the operation.

Keywords: Dor fundoplication; Heller myotomy; achalasia; laparoscopy.

MeSH terms

  • Esophageal Achalasia / surgery*
  • Esophageal Sphincter, Lower / surgery
  • Esophagoplasty / adverse effects
  • Fundoplication / methods*
  • Gastroesophageal Reflux / prevention & control
  • Heller Myotomy / methods*
  • Humans
  • Laparoscopy / methods*
  • Postoperative Period
  • Treatment Outcome