CPT® Code 43279

A laparoscopic Heller-type esophagomyotomy is a surgical procedure designed to alleviate symptoms associated with esophageal conditions, particularly achalasia. This minimally invasive technique involves the division of the muscle fibers at the lower esophageal sphincter to facilitate easier passage of food from the esophagus into the stomach. The procedure is performed using a laparoscope, which is a thin, lighted tube inserted through small incisions in the abdomen. The term "fundoplasty" refers to the surgical technique that may be performed in conjunction with the esophagomyotomy to reinforce the lower esophageal sphincter and prevent reflux. During the procedure, pneumoperitoneum is established, allowing the surgeon to visualize the abdominal cavity clearly. Multiple laparoscopic ports are inserted to provide access for surgical instruments. The surgical team inspects the stomach and esophagus, identifies critical anatomical structures, and performs necessary dissections to ensure a successful outcome. The myotomy involves careful cutting of both longitudinal and circular muscle fibers to relieve pressure at the esophagogastric junction, while the fundoplasty, if indicated, involves suturing the gastric fundus to the diaphragm to enhance the effectiveness of the myotomy and reduce the risk of postoperative complications.