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Thoracoscopic esophageal myotomy--a surgical technique for achalasia diffuse esophageal spasm and "nutcracker
1Department of Surgery, Creighton University, Omaha, NE 68131.
Surgical Endoscopy
|August 1, 1994
Abstract:
Thoracoscopic myotomy has been performed for diffuse esophageal spasm "nutcracker esophagus" and achalasia. Technical considerations for thoracoscopic long myotomy such as trocar placement, length of myotomy, extent of myotomy distal to the gastroesophageal junction, hiatal closure, fundoplication and degree of esophageal mobilization are discussed.