Michael Gray Keyhole Surgeon
keyholesurgeryuk.co.uk
Laparoscopic Hellers Cardiomyotomy
1. The gastro-oesophageal junction before dissection.

1. The gastro-oesophageal junction before dissection

2. Dissection of the oesophagus from the left crus of the diaphragm.

2. Dissection of the oesophagus from the left crus of the diaphragm

3. The oesophagus is fully mobilised.

3. The oesophagus is fully mobilised

4. The outer surface of the muscle is cleaned.

4. The outer surface of the muscle is cleaned

5. The muscle is divided down to the mucosa.

5. The muscle is divided down to the mucosa

6. The cardiomyotomy is extended into the thoracic oesophagus over the area of the lower oesophageal sphincter and the oesophageal mucosa can be seen bulging through.

6. The cardiomyotomy is extended into the thoracic oesophagus over the area of the lower oesophageal sphincter and the oesophageal mucosa can be seen bulging through

7. The anterior hemifundoplication is commenced by suture of the stomach to the left crus.

7. The anterior hemifundoplication is commenced by suture of the stomach to the left crus

8. The fundoplication wrap is completed. The patient was discharged from hospital the following day.

8. The fundoplication wrap is completed. The patient was discharged from hospital the following day.

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