Robotic Heller Myotomy and Hiatal Hernia Repair

P.C. Giulianotti SUMMARY: The pneumoperitoneum is induced with the Verres needle. The abdominal exploration does not show carcinomatosis and liver metastases. The lesser sac is entered by dividing the gastrocolic ligament and preserving the gastroepiploic artery. The stomach is then retracted cephalad. The splenic flexure is taken down to expose the pancreatic tail and the cystic tumor. The splenic artery and vein branches and tributaries are dissected and divided betwenn sutures.