Rol de la cirugía mínimamente invasiva en la patología esofágica benigna: reporte de una serie de casos / Laparoscopic surgery for benign esophageal diseases
Rev. méd. Chile
; 140(6): 703-712, jun. 2012. ilus, tab
Article
in Es
| LILACS
| ID: lil-649839
Responsible library:
CL1.1
ABSTRACT
Background:
Minimally invasive surgery has the advantage of a lower rate of complications and can be used for benign esophageal diseases.Aim:
To report a single surgeon experience with laparoscopic surgery for benign esophageal diseases. Material andMethods:
Prospective analysis of 421 patients (160 males) with benign esophageal disease, who were subjected to laparoscopic surgery by a single surgeon. Immediate mortality, surgical complications and long term results in terms of symptoms recurrence, were analyzed.Results:
The underlying diagnoses of the operated patients were Barrett's esophagus or esophagitis in 257, hiatal hernia in 91, achalasia in 68 and esophageal diverticula in five. Surgery obtained successful results in 90% of patients with Barrett's esophagus. Among patients with hiatal hernia, there was a 12% rate of complications and a 30% recurrence, when a mesh was not used. Among patients with achalasia the recurrence rate was less than 5%.Conclusions:
Laparoscopic surgery has a fair success rate in benign esophageal diseases, with a lower rate of complications.Key words
Full text:
1
Index:
LILACS
Main subject:
Laparoscopy
/
Esophageal Diseases
Type of study:
Observational_studies
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Es
Journal:
Rev. méd. Chile
Journal subject:
MEDICINA
Year:
2012
Type:
Article