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Robotic Myotomy and Partial Fundoplication for Achalasia
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Laparoscopic fundoplication.

M J O'reilly1, S G Mullins1

  • 1Kennestone Hospital, Marietta, Georgia.

Surgical Technology International
|May 8, 2015
PubMed
Summary
This summary is machine-generated.

Gastroesophageal reflux disease (GERD) management has advanced with improved medications and minimally invasive laparoscopic anti-reflux surgery. This approach offers benefits like reduced recovery time and cost savings for patients.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Gastroesophageal reflux disease (GERD) is a prevalent foregut disorder.
  • Advances in instrumentation and techniques have elucidated GERD's complexity.
  • Effective pharmacotherapeutics have been developed, treating most patients medically.

Purpose of the Study:

  • To present experience with laparoscopic anti-reflux surgery.
  • To detail the workup, technique, and results of this surgical approach.
  • To introduce a novel laparoscopic anti-reflux procedure.

Main Methods:

  • Review of patient workup for anti-reflux surgery.
  • Description of laparoscopic anti-reflux surgical techniques.
  • Presentation of outcomes and a new procedure.

Main Results:

  • Laparoscopic anti-reflux surgery provides significant patient benefits.
  • Reduced postoperative morbidity and faster return to activities are observed.
  • Overall cost savings are achieved through this minimally invasive approach.

Conclusions:

  • Laparoscopic anti-reflux surgery is a viable option for medically refractory GERD.
  • Improved pharmacology has reduced surgical rates, but surgical complications also play a role.
  • The presented laparoscopic techniques and new procedure aim to enhance outcomes.