Introduction: Laparo-Endoscopic Single Site (LESS) surgery is beginning to include advanced laparoscopic operations, such as Heller myotomy with anterior fundoplication. However, the feasibility and efficacy of LESS Heller myotomy and anterior fundoplication has not been established. This study was undertaken to evaluate our initial experience with LESS Heller myotomy and anterior fundoplication for achalasia. Methods: […]
Aims Laparoscopic surgery is well established for more than 20 years. Laparoscopic antireflux surgery is well accepted world wide and is prformed for many patients suffering from GERD. Some endoscopic treatments were tried in the past but the results have been less than satisfactory. Currently GERD is managed with operations performed laparoscopically with four or […]
Introduction: Patients undergoing laparoscopic paraesophageal herniorraphy, either initial or recurrent, present with a myriad of esophageal and extra-esophageal symptoms. Given an overall recurrence rate of approximately 8%, reoperative paraesophageal herniorraphy is necessary on a significant number of patients. The goal of this study is to determine whether patients proceeding with laparoscopic reoperative paraesophageal herniorraphy experienced […]
INTRODUCTION: Recent studies have shown laparoscopic esophagomyotomy with fundoplication (LM) to have superior long-term symptom relief and low rates of post-operative gastroesophageal reflux when compared to endoscopic dilation (ED). This study evaluates the morbidity, mortality and cost of treating achalasia with LM versus ED.METHODS: The University HealthSystem Consortium (UHC) is an alliance of more than […]
Aims Oesophageal carcinoma is an aggressive disease and not all patients are suitable for surgery. In those selected patients who are considered fit for a surgical procedure, the aim is to perform a radical operation to achieve clearance of both the primary tumour and involved lymph nodes. The surgery is technically challenging and we are […]