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Single-incision laparoscopic heller myotomy and dor fundoplication for achalasia: Report of a case

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Abstract

Our objective was to establish the efficiency of single-incision laparoscopic Heller myotomy and Dor fundoplication (SILHD) as treatment for esophageal achalasia. A 58-year-old man underwent SILHD for achalasia. The left triangular ligament was retracted using a suture thread and fixed to the body surface, providing a good operative field at the cardia. We performed a 7-cm long myotomy, extending 2 cm into the gastric wall, using a tissue-sealing device or L-shaped electrocautery. Oral intake resumed on postoperative day 1, and hospital stay was 4 days. No morbidity was observed. Based on our experience, we believe that the SILHD can be performed safely and seems to offer at least short-term benefits for selected patients with esophageal achalasia, when performed by surgeons experienced in laparoscopic and esophageal surgery.

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Authors and Affiliations

  1. Department of Surgery, Iwate Medical University School of Medicine, 19-1 Uchimaru, Morioka, 020-8505, Japan

    Jun Nakajima, Akira Sasaki, Toru Obuchi, Shigeaki Baba, Akira Umemura & Go Wakabayashi

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  1. Jun Nakajima
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  2. Akira Sasaki
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  3. Toru Obuchi
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  4. Shigeaki Baba
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  5. Akira Umemura
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  6. Go Wakabayashi
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Nakajima, J., Sasaki, A., Obuchi, T. et al. Single-incision laparoscopic heller myotomy and dor fundoplication for achalasia: Report of a case. Surg Today 41, 1543–1547 (2011). https://doi.org/10.1007/s00595-010-4533-4

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  • DOI: https://doi.org/10.1007/s00595-010-4533-4

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