Laparoscopic Management of Achalasia
The first minimal access procedures for achalasia were performed thoracoscopically, by analogy with the open Heller myotomy. As laparoscopic surgeons became facile at operating around the esophageal hiatus, it became evident that an adequate myotomy could be done laparoscopically in most cases. Today, the vast majority of laparoscopic surgeons add a partial fundoplication to their myotomy. The choice of a posterior partial fundoplication (Toupet) or an anterior partial fundoplication (Dor) remains a matter of surgeon preference and discussion.
KeywordsBotulinum Toxin Heller Myotomy Pneumatic Dilatation Laparoscopic Heller Myotomy Laparoscopic Management
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