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Robotic Heller Myotomy and Dor fundoplication for Achalasia

Robotic Heller Myotomy and Dor fundoplication for Achalasia

F. Cianchi, I. Skalamera, B. Badii, C. Foppa, F. Staderini, G. Fiorenza, E. Qirici

Once the esophagogastric junction has been clearly visualized the myotomy is started onto the proximal esophagus using the cautery hook. The myotomy is extended above the esophagogastric junction for about 6 cm and below for about 2- 2,5 cm onto the gastric side. The anterior branch of the vagus nerve is identified and preserved. Once the myotomy has been completed, a floppy Dor fundoplication is performed.

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