Laparoscopic surgery for the treatment of achalasia
10.3760/cma.j.issn.1673-4904.2014.05.003
- VernacularTitle:腹腔镜手术治疗贲门失弛缓症的临床研究
- Author:
Hongwei JIANG
;
Ju WANG
;
Haijun LI
;
Jikui PENG
;
Xiaoping GAO
- Publication Type:Journal Article
- Keywords:
Laparoscopes;
Esophageal achalasia;
Fundoplication
- From:
Chinese Journal of Postgraduates of Medicine
2014;37(5):8-10
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the complications and short-term effects of laparoscopic surgery for achalasia.Methods The clinical data of 41 patients with achalasia who were treated by laparoscopic surgery were analyzed retrospectively.Results The 41 patients were no deaths.All patients underwent Heller cardiomyotomy and fundoplication,39 patients with Dor anterior fundoplication,2 patients had the presence of hiatal hernia with Toupet fundoplication.The mean surgical time was 142 min.Intraoperative complications occurred in 7 cases,including 6 cases of mild complications.The mean follow-up was 21 months.The clinical efficacy excellent in 27 cases,good in 7 cases,generally in 5 cases,poor in 2 cases.Conclusions Heller cardiomyotomy should be the treatment of choice in achalasia patients,because of its short and medium term outcomes,and its low morbidity.
