Page 75 - World Journal of Laparoscopic Surgery

Laparoscopic Management of Pediatric Achalasia

Figs 3A and B: Preoperative images of malnourished child
Fig. 1: Barium swallow showing achalasia cardia

Fig. 2: UGI endoscopy showing features suggestive of achalasia cardia

Surgical Technique of replaced/accessory left hepatic artery was ruled out. The right
Pneumoperitoneum was created by open technique and remaining crus identified and dissection done in plane between right crus and
four ports were placed in standard fashion as per adult. Subxiphoid esophagus. Phrenoesophageal ligament was divided in a transverse
port was used for liver retraction. Hiatus was approached through fashion. Left crus identified and dissected off esophagus. It is
pars flaccida, identifying and preserving left gastric artery. Presence advisable to dissect closer to crus while creating plane between crus

World Journal of Laparoscopic Surgery, Volume 15 Issue 2 (May–August 2022) 171