V-OG05 Robotic Hellers Myotomy

Abstract Background Achalasia is a rare condition affecting less than 1:100,000 patients. Treatment for this include balloon dilation, botox injection, endoscopic myotomy (POEMS) or surgical myotomy. Laparoscopic the “go to” approach most surgeons; it tried and tested, can be performed safely quickly with low complication rate, minimal pain short length of stay. Methods This video presents technique adopted robotic oesophageal in patient type II achalasia. A 4 arm was on patients left. The Davinci X system used case. Nathensen liver retractor to retract liver; instruments included hook cadiere forceps x2. Results procedure successfully performed; operative time 53 minutes, LOS <24 hours. Check endoscopy revealed wide open gastro-oesophageal junction long noted an improvement symptoms 24 hours has had no significant reflux. Conclusion enhanced magnified 3D view platform allows better visualisation hiatal structures, vagal nerves muscle fibres when performing Using 4th lateral edge provides very safe stable perform I think should as standard hellers