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学科主题: 临床医学
题名:
Laparoscopic Heller-Dor operation for patients with achalasia
作者: Wang, QS; Liu, L; Dong, L; Shen, ZL; Zhou, DH; Hu, CX
关键词: esophageal achalasia ; laparoscopy ; Heller-Dor operation
刊名: CHINESE MEDICAL JOURNAL
发表日期: 2006-03-20
卷: 119, 期:6, 页:443-447
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Medicine, General & Internal
研究领域[WOS]: General & Internal Medicine
关键词[WOS]: ESOPHAGEAL ACHALASIA ; MYOTOMY ; EXPERIENCE ; DISORDERS ; SURGERY
英文摘要:

Background Laparoscopic Heller cardiomyotomy and Dor fundoplication is the surgical procedure of choice for esophageal achalasia. The aim of this study was to investigate the clinical outcome of laparoscopic Heller-Dor procedure in our initial series of 25 patients with achalasia.

Methods Between October 2003 and January 2006, a total of 25 patients with achalasia underwent laparoscopic Heller-Dor operation. Among them, 9 were male and 16 were female with an average age of (41.5 +/- 5.1) years (21 - 66). All the patients received upper gastrointestinal series (barium swallow), esophagogastroscopy, esophageal manometry to exclude esophageal carcinoma and to confirm the diagnosis, and 21 patients also had 24-hour ambulatory pH studies. All the patients were operated by laparoscopic modified Heller′s myotomy with Dor fundoplication. In addition, 2 of them had combined laparoscopic cholecystectomy + excision of hepatic hemangioma and laparoscopic cholecystectomy, respectively.

Results The average operating time was (110.6 +/- 12.9) minutes (range, 60 - 180), operative blood loss averaged (18.6 +/- 7.1) ml (5 - 50), the median time to oral feeding was (1.6 +/- 0.4) days (1 - 4) and the median hospital stay was (12.6 +/- 1.2) days (10 - 20). There was no conversion to open surgery. Intraoperative mucosal perforation was encountered in six patients and was repaired in all of them by laparoscopic suture. All the patients had an uneventful recovery without postoperative complication. After a median follow-up of (10.6 +/- 7.2) months (1 - 27), 24 patients were asymptomatic and 1 had mild postoperative dysphagia.

Conclusions Laparoscopic Heller-Dor operation had the advantages of reduced compromise of the cardiopulmonary function, with less disruption of the supporting structures (phrenoesophageal membrane) of the antireflux mechanism, requiring simpler general anesthesia and providing excellent exposure permitting an easy fundoplication, less pain and reduced morbidity, shorter hospitalization and faster convalescence.

语种: 英语
WOS记录号: WOS:000236337800001
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/58198
Appears in Collections:北京大学第二临床医学院_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Minimally Invas Surg, Beijing 100044, Peoples R China

Recommended Citation:
Wang, QS,Liu, L,Dong, L,et al. Laparoscopic Heller-Dor operation for patients with achalasia[J]. CHINESE MEDICAL JOURNAL,2006,119(6):443-447.
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