Laparoscopic esophagomyotomy for achalasia: how I do it

Area of Science:

• Gastroenterology
• Surgical Innovation

Background:

• Achalasia is a rare esophageal motility disorder.
• Current understanding of pathophysiology, diagnosis, and treatment options for achalasia.

Purpose of the Study:

• To describe minimally invasive surgical approaches for achalasia.
• To detail laparoscopic and robotic myotomy techniques.

Main Methods:

• Laparoscopic esophagomyotomy performed in the lithotomy position under endoscopic control.
• Adaptation of laparoscopic myotomy for robotic-assisted surgery.

Main Results:

• Laparoscopic myotomy is highly effective, durable, and safe.
• Robotic approach shows promise for enhanced precision and potentially lower perforation rates.

Conclusions:

• Laparoscopic myotomy is a well-established and patient-accepted treatment for achalasia.
• Robotic-assisted surgery represents a promising advancement in achalasia treatment.