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LAPAROSCOPIC TREATMENT OF ESOPHAGEAL PERFORATION DURING PNEUMATIC DILATION FOR ESOPHAGEAL ACHALASIA
Mario Costantini*, Renato Salvador, Giovanni Capovilla, Stefano Merigliano
University of Padua, Padova, Italy

In this video we present a case of laparoscopic surgical repair of an esophageal perforation during pneumatic dilation for achalasia. The lesion was visible on the left lateral wall, 2 cm above the cardia. The mucosa was sutured with interrupted stitches, and the muscular layer reconstructed with continuous suture. A Heller myotomy was then performed on the anterior esophageal wall, and a Dor fundoplication completed the operation. The patient was discharged in 7th POD and, at a 1-year follow-up, she is free of dysphagia. Laparoscopic surgical repair of esophageal perforation is feasible: proper treatment of the basic disease with myotomy is necessary, however, to achieve good final results.


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