Laparoscopic closure of esophageal perforation following pneumatic dilatation for achalasia. Report of two cases.
Esophageal perforation following pneumatic dilation of the esophagus is normally recognized shortly after the event. Two patients with esophageal perforation were repaired utilizing a transabdominal laparoscopic technique with suture closure of the perforation, contralateral Heller myotomy, and Toupet posterior partial fundoplication. Patients recovered excellently, were started on liquids within 3 days of surgery, and were discharged shortly thereafter. Details of the procedure are presented. This minimally invasive approach is well tolerated and appropriate in selected patients.
Bell
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Center for Advanced Endoscopic Surgery, 799 East Hampden, Suite 420, Englewood, CO 80110, USA.
D000328:Adult; D002404:Catheterization / Q000009:adverse effects*; D002908:Chronic Disease; D003680:Deglutition Disorders / Q000150:complications / Q000628:therapy; D004931:Esophageal Achalasia / Q000150:complications / Q000628:therapy*; D004939:Esophageal Perforation / Q000209:etiology / Q000601:surgery*; D018662:Fundoplication; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques