Related Experiment Video
Updated: Nov 24, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
A complex modality of achalasia, diverticulum and paraesophageal hernia treated through three-dimensional left
Eustratia Mpaili1, Antonia Meropouli1, Maria Mpoura1
1First Department of Surgery, Laiko General Hospital, National and Kapodistrian University of Athens, Athens, Greece.
Abstract:
Herein, we report a case of a patient with recurrent dysphagia after an open transabdominal hernia repair for a Type IV paraesophageal hernia performed elsewhere. Subsequent work-up and medical records' review revealed the coexistence of a large left epiphrenic diverticulum in combination with achalasia synchronous to the recently repaired paraesophageal hernia. A three-dimensional left thoracoscopic diverticulectomy with a long esophagomyotomy was conducted under endoscopic guidance intraoperatively, with no perioperative complications. At 12 months' follow-up evaluation, the patient presents well with no documented recurrence. Cumulative experience from various medical specialties regarding esophageal motility disorders and endoscopic state-of-the-art techniques, when combined with minimally invasive surgical techniques, provide an effective management of esophageal motility syndromes, overall.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Esophageal Strictures-II: Clinical Features and Management
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Esophageal Varices-I: Introduction
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Endoscopic Procedures III: Video Capsule Endoscopy
Barrett Esophagus-II: Clinical Manifestations and Management
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...

