Laparoscopic Heller myotomy for classic achalasia: results of our initial series of 20 patients

Tello, E. Dauden; Garza, Lorenzo de la; Valdovinos, Miguel A.; Tielve, M; Valdovinos, Francisco; Herrera, Miguel F.

doi:10.1007/s00464-003-8285-8

Cited by 4 publications

(1 citation statement)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…If we considered the safety factor, minimal access approach is very safe in elderly as shown by Kilic A et al 16 also in pregnancy, study by Palanivelu C et al 17 Minimal access approach is advancing day by day. Now even the cardiomyotomy can be performed with the help of Robotstudy by Chaer RA et al 8 and study by Undre S et al 9 Satisfactory clinicoradiological results were obtained by Tello E et al 10 in their study of 20 initial cases. Laparoscopic approach had the advantage of reduced cardiopulmonary compromise, less pain, less morbidity and shorter hospital stay as per Wang QS et al 11 Minimal access surgery has replaced other modality of treatment for achalasia quoted by Bonavina L.…”

Section: Contentmentioning

confidence: 97%

Minimal Access Surgery (Laparoscopic Cardiomyotomy) for Achalasia Cardia

Patil¹

2009

WJOLS

View full text Add to dashboard Cite

Background: Primary motor disorder of esophagus is achalasia cardia which is progressive in nature and do not have any definitive cure.Esophageal cardiomyotomy is the palliative method of treatment which forms the backbone of the treatment line of management. Over a period of last few years minimal access surgery is ganing popularity as the primary modality of management for achalasia.We present our review study of laparoscopic cardiomyotomy and discuss the relevant issues. Method: A retrospective analysis was carried out of various studies who presented the large series of patients who underwent Minimal access cardiomyotomy (laparoscopic) at their respected centers.All patient related factors,the surgical techniques,post-operative course and management including follow-up are discussed. Results: Minimal access approach showed less postoperative pain, ileus, less requirement of intravenous nutrition (P < 0.0001) consequently hospital stay, interval resuming the normal routine activity were also shorter (5 to 15 for minimal access surgery group versus 10 to 20 days for the open heller cardiomyotomy group (P < 0.0001). Conclusion: Minimal access surgery for achalasia is becoming more and more popular over conventional open cardiomyotomy in view of its equal safety and efficacy with added advantage of less morbidity,mortality and better quality of life.

show abstract