LAPAROSCOPIC ESOPHAGOMYOTOMY FOR ACHALASIA IN CHILDREN

Achalasia is an uncommon condition in children. The authors report on two children who were evaluated and treated with laparoscopic esophago myotomy. A 6-port technique was used, with five 5-mm ports and one 10- mm port. During the procedure, esophagoscopy was performed simultaneou sly, which provided esophageal distension for easier dissection and ai ded the surgeon by documenting when a complete myotomy had been accomp lished. The patients' symptoms have resolved, and no postoperative com plications have developed. Laparoscopic esophagomyotomy can be perform ed safely in children and is an effective approach for treatment of th is disorder. Its advantages over the open approach include shorter hos pitalization and less discomfort. (C) 1996 by W.B. Saunders Company