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1. Exposure and Surgical Approach
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A. Trocar Placement
B. Identification/Division of Gastrohepatic Ligament
C. Separation of Diaphragm from Esophagus
D. Excision of Esophageal Fatpad
E. Division of Peritoneum and Phreno-Esophageal Membrane
F. Dissection of Left Crus
G. Mobilization of Esophagus
H. Division of Short Gastric Vessels
2. Therapeutic Intervention
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A. Esophageal Myotomy
B. Dor Fundoplication
3. Closure
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A. Evaluate for Perforation of Myotomy
B. Removal of Trocars
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Laparoscopic Heller Myotomy
Marco Fisichella, MD, MBA, FACS
VA Boston Healthcare System
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General Surgery
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Authors
Marco Fisichella, MD, MBA, FACS
Filmed At:
VA Boston Healthcare System
Article Information
Publication Date
N/A
Article ID
18
Production ID
0063
Volume
N/A
Issue
18
DOI
https://doi.org/10.24296/jomi/18