<strong>Abstract</strong> <em>Background:</em> Currently Heller - Toupet procedure is the main method for achalasia. The aim of this study was to evaluate surgical outcomes of laparoscopic Heller - Toupet surgery for achalasia. <em>Materials and methodology:</em> This is a retrospective case series conducted at Gastrointestinal Department - Viet Duc Hospital University and Department of General Surgery - Hanoi Medical University Hospital between January 2015 and August 2020, including 71 patients with achalasia who underwent laparoscopic Heller - Toupet surgery. The research contents included clinical and paraclinical features, surgical techniques, perioperative and postoperative complications, and long-term outcomes. <em>Results:</em> In total, 71 patients with achalasia were underwent laparoscopic Heller - Toupet surgery, male and female rate accounted for 52.1% and 47,9%, respectively. The average age of the cohort was 44,9±13,9. The incidence of symptomatic dysphagia was 100%. Esophageal dilatation grades I, II, III, IV are 7.0%, 76.1%, 15.5% and 1.4%, respectively. The severity of the disease: Stage 0, I, II, III are 2.8%, 57.7%, 33.8% and 5.6%, respectively. The mean of myotomy length was 5.7 ± 1.6 cm. The operative duration was 124.3 ± 27.4 minutes. There was no conversion, as well as intra- and post-operative morbidity. Long-term outcomes: Good (no or very mild dysphagia) was 89.9%, moderate (moderate dysphagia) was 10.1% and clinical incidence of reflux syndrome was 16.7%. There was no case requiring intervention or re-operation. <em>Conclusions:</em> Laparoscopic Heller - Toupet procedure is safe, low rates of morbidity, and provides good long-term outcomes for achalasia. <em>Keywords:</em> Achalasia; laparoscopy, Heller - Toupet procedure <strong>References</strong> <ol> <li>Peracchia A, Rosati R, Bona S, Fumagalli U, Bonavina L, Chella B. Laparoscopic treteament of functional disease of the esophagus. Int Surg 1995, 80, 336-340?</li> <li>Richter JE, Castell DO. Surgical myotomy for nutcracker esophgus . To be or not to be ? Dig dis Sci 1997, 32, 95-96.</li> <li>Zininotto G, Costantini M, Molena D et al. Treatement of esophageal achalasia with laparoscopic heller myotomy and Dor partial anterior fundoplication: prospertive evaluation of 100 consecultive patients . J Gastrointest 2000, 4, 282-289.</li> <li>Wang BC, Sharp KW et al. The outcome of laparoscopic Heller myotomy versus Heller myotomy without antireflux procedure in patients with achalasia. Am Surg 1998, 64, 515-520.</li> <li>Đỗ Trường Sơn. Laparoscopic surgery for achalasia: experience of 10 years follow-up at the department of gastrointestinal surgery of Viet Duc University Hospital. Journal of Medical research. 2014;89(4):77-82.</li> <li>Graham AJ, Finley RJ, WorsLey DF, Dong SR, Clifton JC, Storseth C. Laparoscopic esphageal myotomy and anterior partial fuodoplication for the treatemant of achalasia. Ann Thorac Surg. 1997, 64, 785-789.</li> <li>Spechler SJ. Pneumatic dilatation and laparoscopic Heller s myotomy equally effective for achalasia. N Engl J Med, 2011, 364, 1868.</li> <li>Rosati R, Fumagalli U, Bona S, Bonavina L, Peracchia A. Surg. Endosc. 1998, 12, 270-273.</li> <li>Richards WO, Torquati A, Holzman MD, et al. Heller myotomy versus Heller myotomy with Dor fundoplication for achalasia: a prospective randomized double-blind clinical trial. Ann Surg 2004; 240:405.</li> <li>Rawlings A, Soper NJ, Oelschlager B, et al. Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trial. Surg Endosc 2012; 26:18.</li> <li>Kumagai K, Kjellin A, Tsai JA, et al. Toutpet versus Dor as a procedure to prevent reflux after cardiotomy for achalasia: results of a randomized clinical trial. Int J Surg, 2014, 12, 673- 680.</li> </ol> <!--more--> <a href="https://vjsel.vn/wp-content/uploads/2022/03/BAI-1.pdf">Download PDF File</a>