[Laparoscopic procedure according to Heller].
Oesophageal achalasia is a rare disorder. For patients in good overall condition, surgical management--myotomy--is one of the treatment options. This study describes the technique of laparoscopic myotomy sured by partial antireflux cuff. 35 patients were operated. Only in 3 cases, further follow-up was required for dysphagia. None of the patients required re-operation. No serious peroperative or postoperative complications were recorded. Importance of peroperative oesophagogastroscopy in assessment of adequate extent of myotomy and in excluding perforations of the oesophageal mucosa is put forward.
Kala
Z
Z
Chirurgická klinika FN Brno-Bohunice. zkala@fnbrno.cz
Procházka
V
V
Marek
F
F
Dolina
J
J
Hep
A
A
Kroupa
R
R
D000328:Adult; D000368:Aged; D016145:Endoscopy, Digestive System / Q000379:methods; D004931:Esophageal Achalasia / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D007431:Intraoperative Complications; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications