Minimally Invasive Surgery for Achalasia: Combined Experience of Two European Centers

@article{Garzi2007MinimallyIS,
  title={Minimally Invasive Surgery for Achalasia: Combined Experience of Two European Centers},
  author={Alfredo Garzi and J-S. Valla and Francesco Molinaro and G M Amato and Mario Messina},
  journal={Journal of Pediatric Gastroenterology and Nutrition},
  year={2007},
  volume={44},
  pages={587–591}
}
Background: The present report summarizes 12 cases with achalasia treated with laparoscopic Heller myotomy and anterior fundoplication according to the method of Thal and Dor. Patients and Methods: From 1997 to 2005 at 2 institutions in Europe, 12 patients (7 male and 5 female, ages ranging from 3.5 to 7 years) were treated for esophageal achalasia (EA) with laparoscopic Heller myotomy and anterior fundoplication according to Thal and Dor. In 1 case a perforation of the esophageal mucosa… 
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Long-term results of laparoscopic treatment of esophageal achalasia in children: a multicentric survey.
TLDR
It is believed that patients with achalasia have to be treated only at centers with a strong experience in the treatment of this pathology, and the use of the new hemostatic devices seems to reduce the length of surgery and intraoperative bleeding.
Laparoscopic surgery by Heller-Dor technique in patients with achalasia
TLDR
The efficacy of Heller's esophagocardiomyotomy with Dor fundoplication by laparoscopy was confirmed and Dysphagia and regurgitation as the most common symptoms, age group of 31-45 years and females prevailed in the case material.
Laparoscopic esophagomyotomy for achalasia in children: A review.
TLDR
A review of the available literature on LHM performed in patients < 18 years of age found that available data suggest that LHM is safe and effective, but a more complete portrayal of complications and long-term outcomes is needed.
Surgical Management of Esophageal Achalasia in Pediatrics: A Systematic Review.
TLDR
Methods of diagnosis and measures of successful outcomes were heterogeneous, limiting the strength of evidence and HM showed superior short-term success rates to EOD, and POEM is a promising modality but requires investment in equipment and training.
Results of Laparoscopic Heller's Myotomy for Achalasia in Children: A Systematic Review of the Literature.
TLDR
Routine use of an additional fundoplication might not be justified in children with achalasia and there is no difference in incidence of GER and dysphagia between patients with and withoutFundoplication.
Laparoscopic Heller Myotomy and Posterior Partial Fundoplication
TLDR
This chapter discusses the pros and cons of the different types of fundoplication for achalasia, and how to strike a balance between relief of symptoms and control of abnormal GER.
Robot-assisted Heller myotomy for achalasia
Pediatric gastrointestinal motility disorders: challenges and a clinical update.
TLDR
Although recent advances in technology, genetics, and biology have allowed for a better understanding of the pathophysiology and therapy of gastrointestinal motility disorders in children, further research and new therapeutic agents are needed.
Neurogastroenterology and motility disorders in pediatric population
Diseases of the Pediatric Esophagus

References

SHOWING 1-10 OF 26 REFERENCES
Evaluating results of laparoscopic surgery for esophageal achalasia
TLDR
Laroscopic Heller-Dor operation is feasible, safe, and effective to treat stage I–III esophageal achalasia, but special care should be taken in patients with previous endoscopic dilations.
Evaluation of minimally invasive approaches to achalasia in children.
TLDR
The authors' experience with thoracoscopic Heller myotomy and later laparoscopic Heller (LH) myotomy for definitive treatment of achalasia in children are described, and they prefer LH with a Dor fundoplication for treatment of this disease.
Etiology, Diagnosis, and Treatment of Failures After Laparoscopic Heller Myotomy for Achalasia
Laparoscopic Heller myotomy for achalasia.
  • D. Hunt, V. Wills
  • Medicine
    The Australian and New Zealand journal of surgery
  • 2000
TLDR
Laroscopic Heller myotomy is a technically challenging procedure that provides good early palliation of the symptoms associated with achalasia and the 'learning curve' contributed significantly to the length of the procedure, and the need for reoperation.
Laparoscopic Heller myotomy and Dor fundoplication for esophageal achalasia in children.
TLDR
Data support the notion that laparoscopic Heller myotomy should become the primary treatment of esophageal achalasia in children.
Results of the laparoscopic Heller-Dor procedure for pediatric esophageal achalasia
TLDR
As complication and recurrence rates are very low, modified Heller myotomy and Dor gastropexy through a laparoscopic approach is the first choice to treat esophageal achalasia in the pediatric population.
[Esophageal resection in treatment of achalasia. 4 case reports and review of the literature].
TLDR
It could be shown that transhiatal resection with esophagus-replacement through stomach pull-up can lead to symptom-relief as well as an improvement in the quality of living.
Achalasia: a prospective study comparing the results of dilatation and myotomy.
TLDR
Both methods offer benefits in the treatment of the initial stage of megaesophagus, although esophageal pH monitoring indicates that dilatation provokes a greater index of esophagal acid exposition time.
Current status of an antireflux procedure in laparoscopic Heller myotomy
TLDR
Reflux is not necessarily eliminated with the addition of a partial fundoplication, and recommendations cannot be made regarding the efficacy of adding an antireflux procedure to laparoscopic Heller myotomy.
Improved outcome after extended gastric myotomy for achalasia.
TLDR
An extended gastric myotomy (3 cm) more effectively disrupts the lower esophageal sphincter, thus improving the results of surgical therapy for achalasia for dysphagia without increasing the rate of abnormal gastroesophageaal reflux provided that a Toupet fundoplication is added.
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