Laparoscopic approach to esophageal achalasia (technique and functional results)
Epublication WebSurg.com, Sep 2004;04(09). URL: http://websurg.com/doi/vd01en1239e
This video demonstrates the surgical steps in performing a Heller's myotomy with a Dor Patch (anterior fundoplication). After mobilization of the anterior esophagus a myotomy is carried out in the distal esophagus and the LES until the gastric wall. This is checked endoscopically during the procedure. After adequate myotomy is achieved an anterior fundoplication is done using the anterior surface of the fundus. It is sometimes necessary to divide the short gastric vessels to achieve adequate fundus mobilization to complete this step. The surgeon also discusses some outcomes data on his experience with the surgery.