[Intraoperative endoscopic surveillance in laparoscopic surgical treatment of achalasia].
We study the utility of intraoperative endoscopic control, in laparoscopic surgical treatment of the typical Achalasia of Esophagus. 81 patients were intervened surgically in Centro de Cirugia Endoscopica. Hospital Universitario Calixto Garcia in a five year-old period. All patients received intraoperative endoscopic evaluation to guarantee the effectiveness and integrity of the esophago-cardiomyotomy. The average time of surgical procedure was of 144,7 minutes. The transendoscopic complication in relation with endoscopic procedure was seen in one case but it didn't modify the morbi-mortality of the study. According to Vantrappen classification, 79 patients were considered with a evolution between excellent and good. The use of endoscopic intraoperative control is recommended in the surgical interventions of the patients with achalasia.
Fernández
A
A
Centro de Cirugía Endoscópica, Hospital Universitario General Calixto García, La Habana, Cuba.
Ruiz
J
J
Díaz-Canell
O
O
Martínez
R
R
Garcet
S
S
Pascual
H
H
Olivé
J
J
D004931:Esophageal Achalasia / Q000601:surgery*; D004939:Esophageal Perforation / Q000209:etiology; D004943:Esophagogastric Junction / Q000601:surgery; D004944:Esophagoplasty; D004945:Esophagoscopy / Q000009:adverse effects; D005764:Gastroesophageal Reflux / Q000601:surgery; D006801:Humans; D007430:Intraoperative Care / Q000295:instrumentation / Q000379:methods*; D009130:Muscle, Smooth / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012086:Reoperation; D013396:Suction; D016896:Treatment Outcome