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Related Experiment Video

Updated: Jun 10, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Transcervical heller myotomy using flexible endoscopy.

Georg O Spaun¹, Christy M Dunst, Brittany N Arnold

¹Minimally Invasive Surgery Program, Legacy Health, 1040 NW 22nd Ave, Suite 560, Portland, OR 97210, USA. georg.spaun@gmail.com

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract

|August 20, 2010

Summary

This summary is machine-generated.

Performing Heller myotomy for esophageal achalasia via a small cervical incision using flexible endoscopes is feasible. This transcervical approach demonstrated a high success rate, particularly for posterior myotomies.

More Related Videos

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Published on: February 16, 2024

Related Experiment Videos

Last Updated: Jun 10, 2026

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Published on: February 16, 2024

Area of Science:

Gastroenterology
Surgical Innovation
Minimally Invasive Surgery

Background:

Esophageal achalasia is commonly treated with laparoscopic myotomy.
Transesophageal endoscopic approaches are emerging.
A transcervical approach using NOTES techniques may offer a safer, less traumatic alternative.

Purpose of the Study:

To evaluate the feasibility of transcervical Heller myotomy.
To assess the safety and success rate of this novel approach.
To compare anterior and posterior myotomy outcomes.

Main Methods:

Porcine and human cadaver study.
Flexible endoscopes used via a small cervical incision.
Esophageal dissection and Heller myotomy performed.

Main Results:

100% success in esophageal dissection to the diaphragm and myotomy.
Posterior Heller myotomy consistently extended to the gastric wall.
Anterior gastric extension of myotomy was more challenging.

Conclusions:

Transcervical Heller myotomy with flexible endoscopes is feasible.
Higher success rates observed with posterior myotomy.
Anatomic considerations may influence myotomy extension.