Six years of experience in laparoscopic surgery of esophageal achalasia

被引：20

作者：

Fernández, AF ^{[1
]}

Martínez, MA ^{[1
]}

Ruiz, J ^{[1
]}

Torres, R ^{[1
]}

Faife, B ^{[1
]}

Torres, JR ^{[1
]}

Escoto, CM ^{[1
]}

机构：

[1] Hosp Univ Gen Calixto Garcia, Ctr Cirugia Endoscop, Havana 10400, Cuba

来源：

SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2003年 / 17卷 / 01期

关键词：

esophageal achalasia; laparoscopic surgery; esophagocardiomyotomy;

D O I：

10.1007/s00464-002-8576-5

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Background: We show the experience of 6 years in laparoscopic surgical therapy of esophageal achalasia, performing of the Heller-Dor or Heller-Toupet operation, with particular regard to the technical aspect. Methods: One hundred and ten laparoscopic interventions were done between November 1995 and December 2001. We studied operative time in hiatus approach, esophagocardiomyotomy, transoperative endoscopy, and anti-reflux procedure. We also analyzed the relation between complications and clinical evolution of disease with clinical stage. Results: The mean surgical time of the intervention is 138 min, and it is significantly increased by transoperative endoscopic control; conversion to open surgery was not necessary. Clinical results are classified as excellent in 103 patients. Morbidity was 6%. Conclusion: This surgical procedure is a first line in the treatment of esophageal achalasia. It is necessary to have special care in early diagnostic cases to avoid electrosurgical injury.

引用

页码：153 / 156

页数：4

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