da Vinci Surgery
 

da Vinci® Heller Myotomy
(Achalasia Surgery)

If you have been diagnosed with the swallowing disorder called achalasia and your doctor recommends surgery (called Heller Myotomy), you may be a candidate for minimally invasive da Vinci Surgery.

Why da Vinci Surgery?

Instead of the large abdominal incision used in open surgery, da Vinci surgeons make just a few small incisions - similar to traditional laparoscopy. The da Vinci System features a magnified 3D high-definition vision system and special wristed instruments that bend and rotate far greater than the human wrist. As a result, da Vinci enables your doctor to operate with enhanced vision, precision, dexterity and control.

As a result of da Vinci technology, da Vinci Heller Myotomy offers the following potential benefits over traditional laparoscopic surgery:

  • More precise operation resulting in fewer esophageal tears1,2
  • Improved emotional and general health after surgery2
  • Improved quality-of-life after surgery2

State-of-the-art da Vinci uses the latest in surgical and robotics technologies and is beneficial for performing complex surgery. Your surgeon is 100% in control of the da Vinci System, which translates his or her hand movements into smaller, more precise movements of tiny instruments inside your body. da Vinci – taking surgery beyond the limits of the human hand.

Physicians have used the da Vinci System successfully worldwide in approximately 1.5 million various surgical procedures to date. da Vinci is changing the experience of surgery for people around the world.

Risks & Considerations Related to Heller Myotomy Surgery:

Potential risks of any Heller Myotomy procedure include:

  • Post-operative acid reflux
  • Food impaction

In addition to these risks, there are risks related to minimally invasive surgery, including da Vinci Heller Myotomy including: esophageal perforations (tears) although less common with da Vinci Heller Myotomy as compared to traditional laparoscopy.1

PN 1002289 Rev A 04/2013
  1. Horgan S, Galvani C, Gorodner MV, et al.; Robotic-Assisted Heller Myotomy Versus Laparoscopic Heller Myotomy for the Treatment of Esophageal Achalasia: Multicenter Study; J Gastrointest Surg 2005; 9:1020-1030 The Society for Surgery of the Alimentary Tract.
  2. Huffmanm LC, Pandalai PK, Boulton BJ, James L, Starnes SL, Reed MF, Howington JA, Nussbaum MS. Robotic Heller myotomy: a safe operation with higher postoperative quality-of-life indices. Surgery. 2007 Oct;142(4):613-8; discussion 618-20.

All surgery presents risk, including da Vinci® Surgery and other minimally invasive procedures.  Serious complications may occur in any surgery, up to and including death. Examples of serious or life-threatening complications which may require hospitalization include injury to tissues or organs, bleeding, infection or internal scarring that can cause long-lasting dysfunction or pain. Temporary pain or nerve injury has been linked to the inverted position often used during abdominal and pelvic surgery. Risks of surgery also include potential for equipment failure and human error. Risks specific to minimally invasive surgery may include: A long operation and time under anesthesia, conversion to another technique or the need for additional or larger incisions.  If your surgeon needs to convert the procedure, it could mean a long operative time with additional time under anesthesia and increased complications. Temporary pain or discomfort may result from pneumoperitoneum, the presence of air or gas in the abdominal cavity used by surgeons in minimally invasive surgery. Research suggests that there could be an increased risk of incision-site hernia with single-incision surgery. Results, including cosmetic results, may vary.  Patients who bleed easily, who have abnormal blood clotting, are pregnant or morbidly obese are typically not candidates for minimally invasive surgery, including da Vinci® Surgery. For more complete information on surgical risks, safety, and indications for use, please refer to http://www.davincisurgery.com/safety/. Patients should talk to their doctors about their surgical experience and to decide if da Vinci Surgery is right for them. Other options may be available. Intuitive Surgical reviews clinical literature from the highest level of evidence available to provide benefit and risk information about use of the da Vinci Surgical System in specific representative procedures. We encourage patients and physicians to review all available information on surgical options and treatment in order to make an informed decision. Clinical studies are available through the National Library of Medicine at www.ncbi.nlm.nih.gov/pubmed.

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* Important Patient Safety Information.