Single Incision Laparoscopic Heller Myotomy and DOR Fundoplication
John Afthinos*, Koji Park, James Mcginty, Ninan Koshy, Julio Teixeira
General Surgery, St. Luke's Roosevelt Hospital Center, New York, NY
Introduction: We describe our technique for single incision laparoscopic (SILS) Heller myotomy. The minimally invasive nature of a SILS approach may appeal to patients considering conservative, non-surgical therapy for achalasia, like endoscopic dilatation or botulinum toxin injection. Technique:A Heller myotomy and partial anterior fundoplication are performed through an umbilical SILS port. A penrose drain facilitates retraction. Intraoperative endoscopy confirms adequacy of the myotomy.Conclusion:Heller myotomy and Dor fundoplication is technically feasible through a SILS approach, and offers a competitive, minimally invasive alternative to non-operative treatment options.
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