Work

Robotic stapled cardioplasty, an alternative before esophagectomy

Year: 2025

Type: article

Abstract: 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.

Source: Updates in Surgery

DOI: 10.1007/s13304-025-02161-w

Authors: Elisenda Garsot, Arantxa Clavell, Pau Moreno, Marta Viciano

Institutions: Universitat Autònoma de Barcelona, Hospital Universitari Germans Trias i Pujol

Language: English

Topic: Gastroesophageal reflux and treatments

Subfield: Gastroenterology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $3,790