Single-incision laparoscopic Heller myotomy and Dor fundoplication for achalasia: report of a case.

Abstract

A 31-year-old man, referred to our hospital for investigation of dysphagia, was found to have a spindle-shaped lower esophagus on a contrasted esophagram. The dysphagia was initially treated conservatively, but after 4 years of unsatisfactory control, he requested surgery. Our surgical team has been performing laparoscopic Heller-Dor fundoplication for achalasia since August, 1994, and 265 patients have undergone this procedure so far. Based on our experience, we decided to perform Heller-Dor fundoplication through a single incision for this patient. The operative time was 236 min with minimal blood loss and there were no perioperative complications. His postoperative course was uneventful and he was discharged on postoperative day 4, completing the clinical pathway used for conventional laparoscopic Heller-Dor fundoplication.

• Authors: Fumiaki Yano, Nobuo Omura, Kazuto Tsuboi, Masato Hoshino, Se Ryung Yamamoto, Hideyuki Kashiwagi, Katsuhiko Yanaga
• Journal: Surgery today (Surg Today) Vol. 42 Issue 3 Pg. 299-302 (Feb 2012) ISSN: 1436-2813 [Electronic] Japan
• PMID: 22218875 (Publication Type: Case Reports, Journal Article)

Topics

• Adult
• Esophageal Achalasia (diagnosis, surgery)
• Fundoplication (methods)
• Humans
• Laparoscopy
• Male