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Título

Robotic Myotomy and Partial Fundoplication for Achalasia

Resumo

Laparoscopic Heller myotomy is currently considered the standard definitive treatment of achalasia. With the advancements in technology, robotic Heller myotomy has emerged as an alternative approach to traditional laparoscopy, due to three dimensional visualization, fine motor control and improved ergonomics provided by the robot.
Although there is a lack of randomized controlled trials, robotic assisted Heller myotomy seems to be associated with lower rates of intraoperative perforations, when compared to the laparoscopic approach. Robotic approach may also improve surgical outcomes by providing a more complete myotomy.
Here, we describe the detailed steps of a robotic myotomy and partial fundoplication for achalasia.