| Autor: |
Federico, Roesch-Dietlen, Alfonso Gerardo, Pérez-Morales, Julio, Ballinas-Bustamante, Silvia, Martínez-Fernández, José María, Remes-Troche, Victoria Alejandra, Jiménez-García |
| Rok vydání: |
2012 |
| Předmět: |
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| Zdroj: |
Cirugia y cirujanos. 80(1) |
| ISSN: |
2444-054X |
| Popis: |
Laparoscopic myotomy associated with fundoplication is a useful therapeutic resource for the treatment of achalasia. The aim of the study was to analyze the outcomes of the surgical treatment of achalasia in a group of patients treated at the Hospital Naval de la Secretaría de Marina and at the Hospital Español in Veracruz during a 6-year period.Eleven patients were submitted to myotomy and fundoplication. Variables analyzed were age, gender, symptom duration, surgical complications, surgical time, day/stay, and postoperative morbidity.Mean age was 41.7 years ± 7.69 years; 63.64% of the patients were male and 36.36% were female. Average time from symptom onset was 2.5 ± 1.38 years. All patients had received previous unsuccessful medical and endoscopic treatment. Diagnosis was confirmed by esophagogram, endoscopy and manometry. All patients underwent Heller myotomy and fundoplication. Operative time was 140.4 ± 26.2 min. Average days/stay was 3.7 ± 1.4 days. Postoperative course was satisfactory in all patients and there was no perioperative mortality. Average follow-up was 3.8 ± 2.3 years.In our group, laparoscopic myotomy with fundoplication was a safe procedure offering excellent results comparable with those published in the literature. There is controversy about the type of fundoplication; therefore, the choice is at the discretion of the surgeon. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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