J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 390KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 104(9): 597-600, 2003

Feature topic

LAPAROSCOPIC MODIFIED GIRARD MYOTOMY AND FUNDOPLICATION FOR ACHALASIA

1) Choshi Municipal General Hospital, Choshi, Japan
2) Department of Surgery, Nihon University School of Medicine, Tokyo, Japan

Hironobu Sato1), Motoo Yamagata2)

The standard surgical treatment for esophageal achalasia is improvement of the passage combined with antireflux repair. This paper describes the techniques of the laparoscopic modified Girard myotomy and fundoplication for achalasia. The laparoscopic modified Girard myotomy and fundoplication were performed through five upper abdominal trocars. A 10 cm myotomy extended 8 cm above the gastroesophageal junction and 2 cm below the gastroesophageal junction using an electric J-hook. Transverse sutures were placed on each side of the lower myotomy. The gastric fundus was covered with the upper myotomy with several sutures. Twenty-three patients were treated using this method. Excellent results were achieved. The laparoscopic modified Girard myotomy and fundoplication appear to provide effective treatment of achalasia with minimal invasion and rapid rehabilitation.

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