Clinical analysis on 53 cases with achalasia of cardia treated by laparoscopic Heller-Dor surgery
10.3760/cma.j.cn113855-20240422-00293
- VernacularTitle:腹腔镜Heller-Dor手术治疗贲门失弛缓症的临床分析
- Author:
Yu WU
1
;
Yu WANG
;
Jing XUN
;
Zhongjie LI
;
Lin LANG
Author Information
1. 天津医科大学附属南开医院胃肠外科，天津 300100
- Keywords:
Esophagoplasty;
Achalasia of cardia
- From:
Chinese Journal of General Surgery
2024;39(6):456-459
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and effectiveness of laparoscopic Heller-Dor surgery in the treatment of achalasia.Methods:The clinical data of 53 patients with achalasia who underwent laparoscopic Heller-Dor surgery from Jan 2013 to Dec 2023 were retrospectively analyzed, including operation time, intraoperative blood loss, postoperative hospitalization , and short-term complications.Patients were followed up for 6 to 12 months after surgery. The preoperative and postoperative achalasia symptom scores (Eckardt score, Gerd-Q score) were compared.Results:All operations were successful, with an average operation time of (124±22) min, an average intraoperative blood loss of (15±5) ml, and an average postoperative hospital stay of (4.2±1.3) d. Compared with those before the operation, the Eckardt score and Gerd-Q score of the patients after the operation were improved compared with that before surgery (all P<0.05). The average postoperative follow-up was 12 months in all 53 cases. One patient with end-stage achalasia developed mild dysphagia 11 months after surgery, and the symptoms of the remaining 52 cases improved significantly. Among them, symptoms disappeared in 48 cases and improved in 5 cases. Conclusions:Laparoscopic Heller-Dor surgery can not only effectively improve the symptoms of achalasia, but also effectively prevent postoperative gastroesophageal reflux symptoms. The operation is simple, less invasive, and has fewer complications.
