[Heller's esocardiomyotomy without anti-reflux procedure by the laparoscopic approach. Analysis of a series of 27 cases].
From November 1992 to June 1996, 27 laparoscopic Heller's myotomies without antireflux procedure were performed. One mucosal tear occurred and was treated by open surgery. There was no mortality; one case of sepsis with a good outcome was observed on the converted patient. The mean length of hospital stay was 5.5 days. The immediate functional result was good in all cases. Postoperative esophageal manometry showed a significant reduction of the LES pressure, and post-operative pHmonitoring showed one case of reflux. The long term functional result was good in 81% of cases, moderate in 19% (slight reflux in 3 cases and dysphagia in 2 cases). No failure and no reoperation occurred in this series. This procedure has been applied to all patients with achalasia since December 1992.
Boulez
J
J
Service de Chirurgie Digestive, Hôpital Edouard-Herriot, Lyon.
Meeus
P
P
Espalieu
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004931:Esophageal Achalasia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome