Abstract
Abstract Introduction: Myotomy of the cardia is the surgical procedure of choice for esophageal achalasia. This study shows, with a video of technical note, the safety of a robotic approach to perform Heller myotomy. Description of the Video: 00:34—The patient is placed in a supine, reversed Trendelenburg position with approximately 20° of inclination. A pneumoperitoneum is created by introducing a Veress needle into the left hypochondrium. A 12-mm trocar, for the robotic camera, is positioned in the left paraumbilical region. Two 8-mm robotic ports are inserted, respectively, into the right hypochondrium and the left subcostal region. A 12-mm extra port for accessory surgical instruments controlled by the assistant surgeon is placed at the supraumbilical region. 00:45—The left lobe of the liver is raised to expose the cardial region, and the base of the stomach is grabbed, pulling downward and to the right. 00:58—The upper cardial peritoneum is incised using a coagulation hook, exposing the front part of...
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