Jara Hernandez Gutierrez* and Aurelio F Aranzana Gómez
General Surgery, Complejo Hospitalario Universitario de Toledo, Spain
*Corresponding Author:Jara Hernandez Gutierrez, General Surgery, Complejo Hospitalario Universitario de Toledo, Spain.
Received: November 09, 2021; Published: December 30, 2021
Achalasia is a relatively rare disease included within the group of motor disorders of the esophagus, characterized by impaired lower esophageal sphincter relaxations and the absence of esophageal peristalsis. Laparoscopic Heller myotomy has become the procedure of choice for treating primary achalasia, due to the fact that the procedure is the one that has shown the best results in terms of morbidity, mortality and recurrences. We present a 60-year-old woman diagnosed with Achalasia. We describe the procedure and show figures of the surgery. The patient underwent an extended Heller's extramucosal myotomy with intraoperative esophageal perforation at the esophagogastric junction, associating Dor type anterior antireflux technique, the surgical procedure was completed laparoscopically. There was no postoperative morbidity or mortality. At 8 months follow-up the patient was asymptomatic and with correct radiological control. The Minimally Invasive Surgery is the treatment of choice for Achalasia, it consists of an extended Heller myotomy associated with an antireflux technique. Intraoperative perforation of the esophageal mucosa always makes the procedure more difficult, and it is necessary to insist on completing the myotomy to avoid recurrence of the disease.
Keywords: Achalasia; Lower Esophageal Sphincter; Extended Heller's Extramucosal Myotomy; Esophageal Perforation; Minimally Invasive Surgery; Laparoscopic Surgery;
Citation: Jara Hernandez Gutierrez and Aurelio F Aranzana Gómez. “Minimally Invasive Surgery for Achalasia: Laparoscopic Heller Myotomy with Accidental Esophageal Perforation". Acta Scientific Gastrointestinal Disorders 5.1 (2022): 57-66.
Copyright: © 2022 Jara Hernandez Gutierrez and Aurelio F Aranzana Gómez. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.