Esophagomyotomy (Open and MIS Approaches)

Abstract

This chapter describes the surgical procedure for esophagomyotomy as performed by open and laparoscopic approaches. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: abdominal access, hiatal exposure, esophageal dissection and gastric mobilization, fundoplication, crural reapproximation, and reinforcement.