Laparoscopic Heller myotomy combined with Dor fundoplication for the treatment of achalasia of cardia
10.3760/cma.j.cn113855-20231011-00231
- VernacularTitle:腹腔镜下Heller肌层切开术联合Dor胃底折叠术在贲门失弛缓症患者中的疗效分析
- Author:
Zhihao ZHU
1
;
Jinlei MAO
;
Fei ZHAO
;
Zhifei WANG
Author Information
1. 浙江中医药大学第二临床医学院，杭州 310000
- Keywords:
Fundoplication;
Achalasia of Cardia;
Laparoscopy
- From:
Chinese Journal of General Surgery
2024;39(6):460-464
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the experience using laparoscopic Heller myotomy combined with Dor fundoplication for the treatment of achalasia of cardia.Methods:This is a retrospective analysis. From Mar 2020 to Mar 2023 8 patients admitted at Zhejiang Provincial People's Hospital were treated surgically, including 5 males and 3 females with a mean age of (47±15) years.Results:Dysphagia was the most common preoperative symptom, followed by acid reflux. All patients underwent preoperative gastroscopy and esophageal high-resolution manometry. Most patients underwent gastrointestinal barium series,ultrasound endoscopy, and chest/abdomen/esophageal CT. All patients underwent laparoscopic Heller myotomy + Dor fundoplication, 2 cases suffered from intraoperative esophageal mucosal injury, and received intraoperative mucosal repair. Mean postoperative hospital stay was (4.38±2.23) days, and 2 cases complaining dysphagia within 1 month after surgery, treated conservatively recovered and discharged. The Eckardt score was significantly lower in all patients after surgery than before surgery ( P=0.011). Conclusion:Laparoscopic Heller myotomy combined with Dor fundoplication has good short and medium-term efficacy in the treatment of patients with achalasia of the cardia.
