Clinical outcome of transabdominally Heller-Dor operation for achalasia
10.3760/cma.j.issn.1001-4497.2011.03.004
- VernacularTitle:经腹行Heller加改良Dor手术治疗贲门失弛症的临床疗效观察
- Author:
Hongli HAN
;
Xun ZHANG
;
Lei TUO
;
Xike LU
;
Daqiang SUN
;
Yijun XU
- Publication Type:Journal Article
- Keywords:
Cardia;
Esophageal achalasia;
Esophagoplasty
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(3):141-143
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effect of curing achalasia by transabdominally Heller-Dor operation. Methods To summarize 33 cases of achalasia treated by transabdominally Heller-Dor procedure and visit them postoperatvely. 18 patients receive pre- and post-operativemanometry and 24-hour-pH monitoring. The parameters including reflux frequency 、the longest lasting-time of reflux 、the total time(min) of pH ＜4.0 and the percentage( % ) of time of pH ＜4.0 were recorded and compared using statistical mothods. Results Symptom was significantly improved in 32 patients after surgery, while 1 patient remained dysphasia as pre-operative. The LESP, the reflux frequency、the longest lasting-time of reflux 、the total time(min) of pH ＜ 4.0 and the percentage ( % ) of time of pH ＜ 4.0 also declined after operations ( P ＜ 0. 05 ). 30 patients were followed up,22 (73.3% ,22/30) were cured and 8 had mild sypmtom. Reflux did not detected in 3 cases( 16.7% ,3/18 ) with preoperative reflux. Conclusion Transabdominally Heller-Dor operation could dramadically alleviate the symptoms of patients with achalasia, moreover, it could especially prevent the postoperative-reflux, and with the advantages of simple operations, little traumas.
