TPTh 7.12 Swallowing without Strain: Outcomes Following Robotic Heller’s Cardiomyotomy – A Single High Volume UK Center Experience

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ID: 323996
2026
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Abstract
Abstract Background Achalasia is an oesophageal motility disorder causing dysphagia, regurgitation, and chest pain, due to loss inhibitory neurons of the myenteric plexus. Heller’s cardiomyotomy remains the gold standard operative treatment, traditionally performed laparoscopically. Robotic Heller’s cardiomyotomy (RHCM) may reduce mucosal injury while maintaining symptom control through improved visualisation and instrument control. However, evidence on post-operative morbidity and patient-centred outcomes is limited. Methods Data was retrospectively collected of prospectively maintained database of patients undergoing RHCM for achalasia between July-2022 and October-2025 was collected. Demographic data, achalasia subtype, operative details, and post-operative outcomes at one year were collected. Primary outcomes assessed were peri-operative outcomes including morbidity (Clavien-Dindo). Secondary outcomes assessed were improvement in symptoms using Eckardt score (pre- and post-operative). Data was analysed using Microsoft Excel and represented as median (IQR). Results A total of 11 patients, 8 male and 5 female (median age 50 years) underwent RHCM, with none having conversion to laparoscopy or open. Type II achalasia was the most common. No patient had Clavien-Dindo grade ≥2 complications; notably, there were no intraoperative oesophageal perforations or re-interventions. The median length of hospital stay was 1 day. Eckardt score <3 (remission) was achieved in all patients. Till date no one has experienced symptom recurrence. Conclusion RHCM showed significant symptom improvement, positive reflux-related outcomes and negligible major morbidity even in the early learning curve. These findings support RHCM as a safe and effective surgical option for achalasia. Assessing long-term outcomes will help to assess durability.
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Authors Maitreyi Patel, Praveen Surya Ravichandran, Samrat Mukherjee, Dipankar Mukhopadhyay
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.501
URL
https://doi.org/10.1093/bjs/znag087.501
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