Abstract
The first minimally invasive myotomy for achalasia was performed in the USA in 1991, through a left thoracoscopic approach. This minimally invasive operation eventually evolved into a laparoscopic myotomy with a partial fundoplication. The high success rate of this operation has eventually brought a shift in practice, as surgery has gradually become the preferred treatment modality for most gastroenterologists and surgeons.
This chapter was contributed by Margret Oddsdottir MD in the previous edition.
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
Selected References
Burpee SE, Mamazza J, Schlachta CM, et al. Objective analysis of gastroesophageal reflux after laparoscopic Heller myotomy: an anti-reflux procedure is required. Surg Endosc. 2005;19:9–14.
Chen Z, Bessell JR, Chew A, Watson DI. Laparoscopic cardiomyotomy for achalasia: clinical outcomes beyond 5 years. J Gastrointest Surg. 2010;14:594–600.
Fisichella PM, Raz D, Palazzo F, Niponmick I, Patti MG. Clinical, radiological and manometric profile in 145 patients with untreated achalasia. World J Surg. 2008;32:1974–9.
Khajanchee YS, Kanneganti S, Leatherwood AEB, et al. Laparoscopic Heller myotomy with Toupet fundoplication. Outcome predictors in 121 consecutive patients. Arch Surg. 2005;140:827–34.
Khandelwal S, Petersen R, Tatum R, et al. Improvement of respiratory symptoms following Heller myotomy for achalasia. J Gastrointest Surg. 2011;15:235–9.
Kjellin AP, Granqvist S, Ramel S, Thor KBA. Laparoscopic myotomy without fundoplication in patients with achalasia. Eur J Surg. 1999;165:1162–6.
Moonka R, Patti MG, Feo CV, et al. Clinical presentation and evaluation of malignant pseudoachalasia. J Gastrointest Surg. 1999;3:456–61.
Oelschalager BK, Chang L, Pellegrini CA. Improved outcome after extended gastric Âmyotomy for achalasia. Arch Surg. 2003;138:490–7.
Patti MG, Arcerito M, Tong J, et al. Importance of preoperative and postoperative pH Âmonitoring in patients with esophageal achalasia. J Gastrointest Surg. 1997;1:505–10.
Patti MG, Fisichella PM, Perretta S, et al. Impact of minimally invasive surgery on the treatment of achalasia. A decade of change. J Am Coll Surg. 2003;196:698–705.
Patti MG, Fisichella PM. Laparoscopic Heller myotomy and Dor fundoplication for Âesophageal achalasia. How I do it. J Gastrointest Surg. 2008;12:764–6.
Patti MG, Galvani C, Gorodner MV, Tedesco P. Timing of surgical intervention does not influence return of esophageal peristalsis or outcome for patients with achalasia. Surg Endosc. 2005a;19:1188–92.
Patti MG, Gorodner MV, Galvani C, et al. Spectrum of esophageal motility disorders: implications for diagnosis and treatment. Arch Surg. 2005b;140:442–8.
Patti MG, Herbella FA. Fundoplication after laparoscopic Heller myotomy for esophageal achalasia. What type? J Gastrointest Surg. 2010;14:1453–8.
Perrone JM, Frisella MM, Desai KM, Soper NJ. Results of laparoscopic Heller-Toupet for achalasia. Surg Endosc. 2004 Nov;18(11):1565–71.
Petersen RP, Pellegrini CA. Revisional surgery after Heller myotomy for esophageal achalasia. Surg Laparosc Percutan Tech. 2010;5:321–5.
Portale G, Costantini M, Rizzetto C, et al. Long-term outcome of laparoscopic Heller-Dor surgery for esophageal achalasia. Possible detrimental role of previous endoscopic treatment. J Gastrointest Surg. 2005;9:1332–9.
Rebecchi F, Giaccone C, Farinella E, et al. Randomized control trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia. Ann Surg. 2008;248:1023–30.
Richards WO, Torquati A, Holzman MD, et al. Heller myotomy versus Heller myotomy with Dor fundoplication. A prospective randomized double-blind clinical trial. Ann Surg. 2004;240:405–15.
Roll GR, Ma S, Gasper WJ, et al. Excellent outcome of laparoscopic esophagomyotomy for achalasia in patients older than 60 years of age. Surg Endosc. 2010;24:2562–6.
Rosemurgy AS, Morton CA, Rosas M, Albrink M, Roos SB. A single institution’s experience with ore than 500 laparoscopic Heller myotomies for achalasia. J Am Coll Surg. 2010;210:637–45.
Smith CD, Stival A, Howell L, Swafford V. Endoscopic therapy for achalasia before Heller myotomy results in worse outcome than Heller myotomy alone. Ann Surg. 2006;243:579–86.
Sweet MP, Nipomnick I, Gasper WJ, et al. The outcome of laparoscopic Heller myotomy for achalasia is not influenced by the degree of esophageal dilatation. J Gastrointest Surg. 2008;12:159–65.
Tatum RP, Pellegrini CA. How I Do It: Laparoscopic Heller Myotomy with Toupet Fundoplication for Achalasia. J Gastrointest Surg. 2009;13:1120–4.
Topart P, Deschamps C, Taillefer R, Duranceau A. Long-term effect of total fundoplication on the myotomized esophagus. Ann Thorac Surg. 1992;54:1046–51.
Zaninotto G, Constantini M, Rizzetto C, et al. Four hundred laparoscopic myotomies for esophageal achalasia: a single center experience. Ann Surg. 2008;248:986–93.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Bello, B., Gullo, R., Patti, M.G. (2012). 11. Laparoscopic Heller Myotomy and Partial Fundoplication for Esophageal Achalasia. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_11
Download citation
DOI: https://doi.org/10.1007/978-1-4614-2347-8_11
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-2346-1
Online ISBN: 978-1-4614-2347-8
eBook Packages: MedicineMedicine (R0)