HELLER LAPAROSCOPIC CARDIOMYOTOMY WITH ANTIREFLUX ANTERIOR FUNDOPLICATION (DOR) IN THE TREATMENT OF ESOPHAGEAL ACHALASIA

The technique of Heller laparoscopic myotomy with associated Dor anter ior fundoplication for the treatment of esophageal achalasia is descri bed. This operation was performed on three patients with clinical, rad iologic, and manometric diagnoses of achalasia. Complete relief of dys phagia and modifications of radiological and manometric patterns were achieved in all patients 1 month after surgery. Laparoscopic treatment of achalasia is technically feasible, reduces surgical trauma, and ma y be considered a valid alternative to open surgery.