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This video demonstrates robot-assisted Heller myotomy for achalasia in a 14-year-old boy. The procedure illustrates a minimally invasive approach to the esophagogastric junction and the technical principles of surgical treatment for achalasia. Key steps include exposure of the distal esophagus and gastric cardia, identification of the muscular layer, longitudinal myotomy across the lower esophageal sphincter, and careful extension of the myotomy onto the gastric side. The video highlights the importance of maintaining an appropriate myotomy plane and avoiding mucosal injury. This case provides a practical teaching reference for robotic treatment of pediatric achalasia.
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