{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T22:15:41Z","timestamp":1781734541725,"version":"3.54.5"},"reference-count":21,"publisher":"Royal College of Surgeons of England","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["annals"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p> Laparoscopic Heller\u2019s myotomy (LHM) is the most effective therapy for achalasia of the oesophagus. Most case series of LHM report a length of hospital stay (LOS) &gt;1 day. We present 14 years of experience of LHM to examine the safety and feasibility of LHM as a day case procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> We retrospectively examined patients undergoing elective LHM for achalasia at our institution between 2000 and 2014. Demographics, episode statistics, prior investigations and interventions were collated. Outcomes, including LOS, complications and re-interventions, were compared for the periods before and after a consensus decision at our institution in 2008 to perform LHM as a day case procedure. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> Sixty patients with a mean age of 41\u00b113 years were included, of whom 58% were male. The median LOS for all patients was 1 day (interquartile range [IQR] 0\u20132.25). Overall, LHM was performed as a day case in 27 (45%) cases, at 2\/26 (7.7%) in the first period versus 25\/34 (73.5%) in the second (p&lt;0.01). There were no significant differences in age, gender or previous interventions between day surgery and non-day surgery groups. One patient required subsequent unplanned surgery, while six (10%) needed endoscopic treatment of recurrent symptoms within 12 months. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> LHM can be performed safely as a day case procedure. Complication rates are low, with only a small proportion of patients requiring endoscopic treatment for symptom recurrence within 1 year. <\/jats:p><\/jats:sec>","DOI":"10.1308\/rcsann.2016.0063","type":"journal-article","created":{"date-parts":[[2016,1,31]],"date-time":"2016-01-31T18:28:37Z","timestamp":1454264917000},"page":"150-154","source":"Crossref","is-referenced-by-count":9,"title":["Day surgery for achalasia cardia: Time for consensus?"],"prefix":"10.1308","volume":"98","author":[{"given":"DN","family":"Naumann","sequence":"first","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Zaman","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Daskalakis","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Nijjar","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Richardson","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P","family":"Super","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Singhal","sequence":"additional","affiliation":[{"name":"Heart of England NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"171","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1016\/S1052-5157(18)30068-0"},{"key":"bib2","doi-asserted-by":"publisher","DOI":"10.3346\/jkms.2014.29.4.576"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60651-0"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-013-2252-z"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-014-2655-5"},{"key":"bib6","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000217524.75529.2d"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2012.12.019"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2013.03.1335"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31826b5212"},{"key":"bib10","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2013.06.030"},{"key":"bib11","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-012-2030-3"},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(00)80077-3"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.136.8.870"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200205000-00004"},{"key":"bib15","doi-asserted-by":"publisher","DOI":"10.1089\/lap.2008.0057"},{"key":"bib16","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-009-0026-2"},{"key":"bib17","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"bib18","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"bib19","unstructured":"Day Surgery: Operational guide. 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