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Updated: Jun 8, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
11:19

Robotic Myotomy and Partial Fundoplication for Achalasia

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Laparoscopic cardiomyotomy for achalasia: A single unit study.

R Kennedy1, C Menezes, J Ahmad

  • 1Department of Upper Gastrointestinal Surgery, Royal Victoria Hospital Grosvenor Road, Belfast BT12 6BA. rpg.kennedy@btinternet.com

The Ulster Medical Journal
|September 17, 2010
PubMed
Summary

Laparoscopic cardiomyotomy significantly improved swallowing and weight in achalasia patients. This minimally invasive surgery offers a safe and effective treatment option for esophageal neuromuscular disorders.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Esophageal Motility Disorders

Background:

  • Achalasia is a rare, incurable neuromuscular disorder affecting esophageal function.
  • Various treatment options exist, necessitating evaluation of surgical outcomes.

Purpose of the Study:

  • To review the outcomes of laparoscopic cardiomyotomy for achalasia.
  • To assess the safety and efficacy of this minimally invasive approach.

Main Methods:

  • 18 patients with diagnosed achalasia underwent laparoscopic cardiomyotomy.
  • Pre- and postoperative dysphagia scores, Body Mass Index (BMI), and symptom severity were evaluated.
  • Follow-up included assessment of weight changes and other related symptoms.

Main Results:

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Last Updated: Jun 8, 2026

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  • Significant improvement in mean dysphagia scores (7.5 to 33.9) and BMI (22.3 to 25.8 kg/m²).
  • Marked reduction in heartburn, epigastric pain, regurgitation, odynophagia, and sleep disturbances.
  • Average hospital stay was 3.1 days; one intraoperative mucosal perforation occurred, successfully repaired.

Conclusions:

  • Laparoscopic cardiomyotomy is a safe and highly effective treatment for achalasia.
  • The procedure demonstrates significant patient benefit and favorable outcomes.
  • Minimally invasive surgery provides a valuable option for managing this esophageal condition.