Robotic Myotomy and Partial Fundoplication for Achalasia.

Journal: Journal of visualized experiments : JoVE
PMID:

Abstract

Laparoscopic Heller myotomy is currently considered the standard definitive treatment of achalasia. With the advancements in technology, robotic Heller myotomy has emerged as an alternative approach to traditional laparoscopy due to three-dimensional (3D) visualization, fine motor control, and improved ergonomics provided by the robot. Although there is a lack of randomized controlled trials, robotic-assisted Heller myotomy seems to be associated with lower rates of intraoperative perforations compared to the laparoscopic approach. A robotic approach may also improve surgical outcomes by providing a more complete myotomy. Here, we describe the detailed steps of robotic myotomy and partial fundoplication for achalasia.

Authors

  • Rubens Antonio Aissar Sallum
    Gastroenterology Department, University of São Paulo.
  • Felipe Alexandre Fernandes
    Gastroenterology Department, University of São Paulo.
  • Leonardo Torres Branco
    Gastroenterology Department, University of São Paulo.
  • Luna Serena Arguelho Pereira
    Gastroenterology Department, University of São Paulo.
  • Camila Maria Arruda Vilanova de Câmara
    Gastroenterology Department, University of São Paulo.
  • Ítalo Beltrão Pereira Simões
    Gastroenterology Department, University of São Paulo.
  • José Donizeti de Meira Junior
    Gastroenterology Department, University of São Paulo.
  • Melissa Mello Mazepa
    Gastroenterology Department, University of São Paulo.
  • Leonardo Ervolino Corbi
    Gastroenterology Department, University of São Paulo.
  • Rodrigo Nicida Garcia
    Gastroenterology Department, University of São Paulo.
  • Flávio Roberto Takeda
    Gastroenterology Department, University of São Paulo; flavio.takeda@gmail.com.