Laparoscopic cardiomyotomy with a Dor patch for achalasia.
Can J Surg
; 38(5): 445-8, 1995 Oct.
Article
em En
| MEDLINE
| ID: mdl-7553470
ABSTRACT
OBJECTIVE:
To evaluate early experience with laparoscopic Heller's cardiomyotomy with placement of a Dor patch for achalasia.DESIGN:
A prospective case series.SETTING:
A university teaching hospital. PATIENTS Fourteen patients (5 men, 9 women, median age 47 years) with esophageal achalasia, treated between July 1992 and July 1994.INTERVENTIONS:
Laparoscopic Heller's cardiomyotomy with a Dor patch. MAIN OUTCOMEMEASURES:
Clinical relief of symptoms, confirmed by esophageal manometry, 24-hour ambulatory pH monitoring and barium-contrast radiography.RESULTS:
Three of the 14 patients required conversion to an open procedure, and 1 underwent early laparotomy for postoperative bleeding. The median operating time was 120 minutes (range from 75 to 210 minutes), and the median duration of hospitalization was 4 days (range from 3 to 18 days). Normal physical activity was resumed after a median of 2 weeks (range from 0.5 to 6 weeks). Symptomatic dysphagia was completely relieved in 12 patients and improved in 2. Only one patient experienced symptoms of reflux postoperatively. Postoperative esophageal manometry (seven patients), 24-hour pH monitoring (five patients) and barium-meal radiography (seven patients) confirmed the clinical results.CONCLUSION:
Laparoscopic Heller's cardiomyotomy with a Dor patch provides a viable alternative to open cardiomyotomy and forceful endoscopic dilatation.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Acalasia Esofágica
/
Laparoscopia
Limite:
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Can J Surg
Ano de publicação:
1995
Tipo de documento:
Article