distal esophagus – Clinical Robotics https://clinicalrobotics.com Fri, 27 Mar 2026 09:44:07 +0000 en-US hourly 1 https://clinicalrobotics.com/wp-content/uploads/2018/01/cropped-logo-x-google-32x32.png distal esophagus – Clinical Robotics https://clinicalrobotics.com 32 32 Nissen Fundoplication https://clinicalrobotics.com/nissen-fundoplication/ Sat, 31 Mar 2012 05:00:50 +0000 http://www.clinicalrobotics.com/index.php/4836/nissen-fundoplication/ A. Coratti

SUMMARY: As first, a laparoscopic adhesiolysis is performed for a previous laparotomic cholecystectomy to get enough room to dock the robot. After the retraction of the left hepatic lobe, the distal esophagus is isolated, under direct visualization of the vagus nerve.
A Heller myotomy is then performed: an esophago-gastric longitudinal extra-mucosal myotomy is carried up 6 cm on the esophageal side and 2 cm on the gastric side.
An intraoperative endoscopy confirms the dilation of the gastroesophageal junction, excluding the presence of iatrogenic perforation.

A new post has been published on Clinical Robotics.

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A. Coratti

SUMMARY: As first, a laparoscopic adhesiolysis is performed for a previous laparotomic cholecystectomy to get enough room to dock the robot. After the retraction of the left hepatic lobe, the distal esophagus is isolated, under direct visualization of the vagus nerve.
A Heller myotomy is then performed: an esophago-gastric longitudinal extra-mucosal myotomy is carried up 6 cm on the esophageal side and 2 cm on the gastric side.
An intraoperative endoscopy confirms the dilation of the gastroesophageal junction, excluding the presence of iatrogenic perforation. Eventually, a 180° anti-reflux Dor’s fundoplication is performed as well.

A new post has been published on Clinical Robotics.

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