Short-term outcomes and learning curve of the robot-assisted Heller-Dor myotomy for achalasia of cardia: A single-center retrospective study
- VernacularTitle:机器人腹腔镜Heller肌切开联合Dor折叠术治疗贲门失弛缓症学习曲线与短期疗效的单中心回顾性研究
- Author:
Chunlin YE
1
;
Guangxia WEI
1
;
Kaiying XU
1
;
Lei JIANG
1
;
Bin XU
1
;
Quanjin LI
1
;
Zhi HU
2
;
Bentong YU
1
;
Jian TANG
1
Author Information
1. Department of Thoracic Surgery, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, P. R. China
2. Human Genetic Resources Center, The First Affiliated Hospital of Nanchang University, Nanchang, 330006, P. R. China
- Publication Type:Journal Article
- Keywords:
Achalasia of cardia;
Heller myotomy;
fundoplication;
robot-assisted surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(04):443-448
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate short-term outcomes of robot-assisted Heller-Dor myotomy (RAHM-Dor) for achalasia of cardia and our learning curve experience. Methods The clinical data and recent follow-up results of 42 patients who received RAHM-Dor from November 2015 to January 2020 in the Department of Thoracic Surgery of the First Affiliated Hospital of Nanchang University were retrospectively analyzed, including 20 males and 22 females with a mean age of 40.8±18.4 years. Results Dysphagia was the most common symptom, followed by heartburn and regurgitation. The mean operation time was 122.8±23.9 min. The mean blood loss was 47.5±32.7 mL. Two patients suffered mucosal injury, and successfully repaired by suturing during surgery. There was no esophageal fistula, conversion to an open operation or perioperative death in this series. The median length of hospital stay was 8 (6, 9) d. In all patients, the Stooler and Eckardt scores of postoperative 1, 6 and 12 months decreased compared to those of pre-operation (P<0.001). Conclusion RAHM-Dor is a safe and feasible avenue for the treatment of achalasia of cardia, and can achieve a satisfying short-term results. The learning curve shows a transition to the standard stage from the learning stage after 16-18 operations.
