HELLER LAPAROSCOPIC CARDIOMYOTOMY WITH ANTIREFLUX ANTERIOR FUNDOPLICATION (DOR) IN THE TREATMENT OF ESOPHAGEAL ACHALASIA

被引:84
作者
ANCONA, E [1 ]
PERACCHIA, A [1 ]
ZANINOTTO, G [1 ]
ROSSI, M [1 ]
BONAVINA, L [1 ]
SEGALIN, A [1 ]
机构
[1] UNIV PADUA,SCH MED,OOT,IST CHIRURG GEN 2,DEPT SURG,VIA GIUSTINIANI 2,I-35128 PADUA,ITALY
来源
SURGICAL ENDOSCOPY-ULTRASOUND AND INTERVENTIONAL TECHNIQUES | 1993年 / 7卷 / 05期
关键词
ACHALASIA; MYOTOMY; ANTIREFLUX; SURGERY; LAPAROSCOPY;
D O I
10.1007/BF00311744
中图分类号
R61 [外科手术学];
学科分类号
摘要
The technique of Heller laparoscopic myotomy with associated Dor anterior fundoplication for the treatment of esophageal achalasia is described. This operation was performed on three patients with clinical, radiologic, and manometric diagnoses of achalasia. Complete relief of dysphagia and modifications of radiological and manometric patterns were achieved in all patients 1 month after surgery. Laparoscopic treatment of achalasia is technically feasible, reduces surgical trauma, and may be considered a valid alternative to open surgery.
引用
收藏
页码:459 / 461
页数:3
相关论文
共 11 条
[1]  
Berman I.R., Frontiers in general surgery: pioneers, cowboys and desperados, Surg Endosc, 6, pp. 82-83, (1992)
[2]  
Bonavina L., Nosadini A., Bardini R., Baessato M., Peracchia A., Primary treatment of esophageal achalasia. Long-term results of myotomy and Dor fundoplication, Arch Surg, 127, pp. 222-227, (1992)
[3]  
Csendes A., Result of surgical treatment for achalasia of the esophagus, Hepato-Gastroenterology, 38, pp. 474-480, (1991)
[4]  
Csendes A., Braghetto I., Henriquez A., Cortes C., Late results of a prospective randomised study comparing forceful dilatation and oesophagomyotomy in patients with achalasia, Gut, 30, pp. 299-304, (1989)
[5]  
Dor J., Humbert P., Dor V., Et al., L'interet de la technique de Nissen modifie dans la prevention du reflux apres cardiomyotomie extramuquese de Heller, Mem Acad Chir, 88, pp. 877-883, (1962)
[6]  
Ellis F.H., Crozier R.E., Watkins E., Operation for esophageal achalasia. Results of esophagomyotomy without an antireflux procedure, J Thorac Cardiovasc Surg, 88, pp. 344-351, (1984)
[7]  
Ohike N., Payne W.S., Neufeld D.M., Bernatz P.E., Pairolero P.C., Sanderson D.R., Esophagomyotomy versus forceful dilatation for achalasia of the esophagus: results in 899 patients, The Annals of Thoracic Surgery, 28, pp. 119-125, (1979)
[8]  
Shimi S., Nathanson L.K., Cuschieri A., Laparoscopic cardiomyotomy for achalasia, J R Coll Edinb, 36, pp. 152-154, (1991)
[9]  
Shimi S.M., Nathanson L.K., Cuschieri A., Thoracoscopic myotomy for nutcracker esophagus, Br J Surg, 79, pp. 533-536, (1992)
[10]  
Vantrappen G., Hellemans J., Treatment of achalasia and related motor disorders, Gastroenterology, 79, pp. 144-154, (1980)