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Robotic redo Heller myotomy: how I do it? | LitMetric

Robotic redo Heller myotomy: how I do it?

Langenbecks Arch Surg

Division of General, Minimally Invasive and Robotic Surgery, University of Illinois at Chicago, 840 S Wood Street, Suite 435 E, Clinical Sciences Building, Chicago, IL, 60612, USA.

Published: June 2022

AI Article Synopsis

  • - Heller myotomy is successful in treating primary achalasia, but 10-20% of patients may experience persistent symptoms or relapse, leading to a need for alternative treatments after failed procedures.
  • - The discussed video outlines a robotic revisional technique for conducting a redo Heller myotomy, providing detailed steps and helpful tips to enhance surgical outcomes.
  • - While the robotic method shows promise due to its precision and safety, more research is needed to clarify its role in treating patients with recurring symptoms post-myotomy.

Article Abstract

Background: Despite the high success rate associated with Heller myotomy in the treatment of primary achalasia, symptom persistence or relapse occurs in approximately 10-20% of patients. Unfortunately, the ideal treatment after failed myotomy is not well established yet. We present a didactical video with a stepwise technique to perform a robotic revisional procedure after failed Heller myotomy.

Methods: In this report, each surgical step is thoroughly described and visually represented with useful technical tips that might help in improving surgical results of revisional Heller myotomy.

Results: In patients with previous surgical myotomy, the robotic platform with its high-definition magnified view and EndoWrist instruments allow for a safe and precise redo surgical myotomy.

Conclusions: Despite its improved surgical capabilities, the role of robotic redo Heller myotomy in the treatment algorithm of patients with recurrent symptoms after failed surgical myotomy should be further explored.

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00423-022-02553-1DOI Listing

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