Garsot Elisenda, Clavell Arantxa, Moreno Pau, Viciano Marta
Department of Surgery, Faculty of Medicine, Universitat Autonoma de Barcelona, Campus UAB, Bellaterra, 08913, Barcelona, Spain.
Department of General and Digestive Surgery, Hospital Universitari Germans Trias I Pujol, Carretera del Canyet s/n, Badalona, 08916, Barcelona, Spain.
Updates Surg. 2025 Mar 19. doi: 10.1007/s13304-025-02161-w.
Robotic stapled cardioplasty offers a novel, minimally invasive alternative for treating end-stage achalasia, a rare esophageal motor disorder. Achalasia is characterized by the inability of the lower esophageal sphincter to relax and reduced peristalsis, with about 5% of patients progressing to a stage where esophagectomy is often the only treatment option. This study introduces robotic stapled cardioplasty as a less aggressive, organ-preserving approach. Using a robotic platform, the procedure improves visibility, precision, and careful dissection, making it especially useful in complex revision cases. To our knowledge, this is the first reported case of robotic stapled cardioplasty for end-stage achalasia. It appears to be a safe and effective minimally invasive alternative to esophagectomy and may also serve as a rescue procedure for patients who have exhausted other treatment options before considering organ resection.
机器人吻合贲门成形术为治疗终末期贲门失弛缓症（一种罕见的食管运动障碍疾病）提供了一种新颖的微创替代方法。贲门失弛缓症的特征是食管下括约肌无法松弛且蠕动减弱，约5%的患者会进展到通常只能选择食管切除术的阶段。本研究引入机器人吻合贲门成形术作为一种侵入性较小、保留器官的方法。利用机器人平台，该手术提高了可视性、精确性和精细解剖能力，使其在复杂的修复病例中特别有用。据我们所知，这是首例报道的采用机器人吻合贲门成形术治疗终末期贲门失弛缓症的病例。它似乎是一种安全有效的食管切除术微创替代方法，也可作为在考虑器官切除之前已用尽其他治疗选择的患者的挽救手术。
