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Updated: Apr 18, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Laparoscopic Heller myotomy and fundoplication in patients with end-stage achalasia
Fernando A M Herbella1, Marco G Patti
1Department of Surgery, Escola Paulista de Medicina, Federal University of São Paulo, Rua Diogo de Faria 1087 cj 301, São Paulo, SP, 04037-003, Brazil, herbella.dcir@epm.br.
Abstract:
Achalasia may present in a non-advanced or advanced (end stage) stage. The latter is characterized by massive esophageal dilatation and/or the loss of the esophageal straight axis (sigmoid-shaped esophagus). The treatment for non-advanced cases of achalasia is well defined while the therapy for end-stage disease is still debatable. Laparoscopic Heller's myotomy is an option in patients with end-stage achalasia. Dysphagia is relieved in a significant number of patients, it is a simpler operation to be used in frail patients, and it does not preclude a latter esophagectomy if necessary.
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