Laparoscopic cardiomyotomy for achalasia after failed balloon dilatation

Beckingham, I. J.; Callanan, Marie; Louw, J. A.; Bornman, P. C.

doi:10.1007/s004649901020

Cited by 55 publications

(28 citation statements)

References 13 publications

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“…Although it appears to be the most cost effective alternative, there is controversy whether preoperative endoscopic treatment might affect subsequent surgical outcomes. It has been reported that previous endoscopic therapy with pneumatic dilatation or Botox injections may lead to the development of inflammation between the surgical planes thus complicating the surgical procedure and increasing the likelihood of developing intraoperative perforation (15)(16)(17). Some other studies showed no difference in outcomes regardless of whether prior endoscopic therapy was rendered (18,19).…”

Section: Discussionmentioning

confidence: 99%

The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

Gülpınar

Celasin²,

Sozener³

et al. 2015

Turk J Gastroenterol

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Background/Aims: The aim of this prospectively designed study was to postoperatively assess the subjective complaints or relief of symptoms of achalasia patients' who underwent Laparoscopic Hellers' myotomy and partial fundoplication in our clinic. Materials and Methods: 40 patients were enrolled in the study that underwent Laparoscopic Hellers' myotomy and partial fundoplication (toupet or dor) for idiopathic achalasia in our clinic between years 2002 and 2012. Postoperative follow-up was conducted at 1

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Section: Discussionmentioning

confidence: 99%

The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

Gülpınar

Celasin²,

Sozener³

et al. 2015

Turk J Gastroenterol

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“…There were five studies [24][25][26][27][28] and three studies [29][30][31] that assessed the efficacy of HM for failed PD as the firstline treatment. The remission rate was 77.8%-93%.…”

Section: Study Characteristicsmentioning

confidence: 99%

Recurrent achalasia treated with Heller myotomy: A review of the literature

Wang¹,

Li²

2008

WJG

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AIM:To evaluate the efficacy and safety of Heller myotomy (HM) for recurrent achalasia, performed after different methods of first-line treatment. METHODS:We searched for studies published in PubMed from 1966 to March 2008 on treatment of recurrent achalasia with HM after failure with different methods of first-line treatment. The efficacy of HM was assessed by a pooled estimate of response rate with individual studies weighted proportionally to sample size. RESULTS: Sixteen studies were eligible and included in the review. The results showed that HM has a better remission rate for recurrent achalasia after failure of HM [weighted mean (SD)] of 86.9% (21.8%) compared with 81.6% (23.8%) for pneumatic dilatation (PD). One study evaluated the efficacy of HM after failure of PD combined with botulinum toxin injection (83%). The most common complications were perforation and gastroesophageal reflux. CONCLUSION: HM has the best efficacy in patients with recurrent achalasia who were treated with HM as first-line treatment. Future studies should focus on how to increase the success rate and decrease the complications of HM.

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“…The patients can benefit from reduced postoperative pain, shorter hospital stay, early return to work, and a better cosmetic result. The results are comparable to the open approach and lead to an improved quality of life with good control of the symptoms of dysphagia and regurgitation [5, 6]. …”

Section: Introductionmentioning

confidence: 64%

Robot-Assisted Laparoscopic Heller Cardiomyotomy: Preliminary UK Results

et al. 2004

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Background/Aim: Laparoscopic Heller cardiomyotomy is an established modality in the surgical treatment of patients having achalasia cardia. We present our initial experience in robot-assisted laparoscopic Heller cardiomyotomy without addition of an antireflux procedure and discuss the relative merits and disadvantages of the procedure. Patients and Methods: Five patients underwent robot-assisted laparoscopic Heller cardiomyotomy between August 2001 and October 2002. The diagnosis had been confirmed by radiology and manometry in all patients prior to surgery. Results: All procedures were completed successfully using the robotic system, without conversion to open procedure. Mucosal perforation occurred in 1 patient and was sutured robotically. The average operative time was 114.8 (range 65–160) min which is comparable to laparoscopic procedures. After a mean follow-up period of 9.4 (range 3–17) months, 4 patients remained completely asymptomatic, and 1 patient has benefited from symptomatic improvement. Conclusions: The enhanced dexterity and the high-quality three-dimensional vision available with robot-assisted surgery make the application of this technology highly suitable for Heller cardiomyotomy. The minimal lateral and posterior dissection due to the wristed instruments avoids the need for an antireflux procedure.

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Laparoscopic cardiomyotomy for achalasia after failed balloon dilatation

Cited by 55 publications

References 13 publications

The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

The therapeutic results after laparoscopic hellers’ myotomy and partial fundoplication for achalasia

Recurrent achalasia treated with Heller myotomy: A review of the literature

Robot-Assisted Laparoscopic Heller Cardiomyotomy: Preliminary UK Results

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