腹腔镜下贲门肌层切开术及Dor胃底折叠术治疗贲门失弛缓症临床分析

目的探讨腹腔镜下食管下括约肌切开及Dor胃底折叠术治疗贲门失弛缓症的可行性和临床疗效。 方法回顾性分析2010年1月至2015年7月，新疆维吾尔自治区人民医院收治的14例贲门失弛缓症患者的临床资料。 结果14例患者均顺利在胃镜定位下行腹腔镜下食管下括约肌切开及胃底折叠术，无中转开腹，手术时间65～125 min，术中出血量5～25 ml，未发生消化道漏，术后平均住院5～7 d。 结论腹腔镜下食管下括约肌切开及胃底折叠术治疗贲门失弛缓症创伤小，术后恢复快，疗效客观，是安全可行的手术方式。

Clinical analyses of laparoscopic lower esophageal sphincterotomy and Dor fundoplication for cardiac achalasia

ObjectiveTo investigate the feasibility and efficacy of laparoscopic lower esophageal sphincterotomy and Dor fundoplication for cardiac achalasia patients. MethodsThe clinical data for 14 cardiac achalasia patients from January 2010 to July 2015 in People′s Hospital of Xinjiang Uygur Autonomous Region were retrospectively analyzed. ResultsLaparoscopic lower esophageal sphincterotomy and Dor fundoplication under gastroscopic location were completely successful in all 14 patients without any subsequent laparectomy.The operative time was 65 to 125 minutes, and blood loss was between 5 to 25 ml, and no occurrence of gastrointestinal fistula.The median postoperative hospital stay was 5 to 7 days. ConclusionLaparoscopic lower esophageal sphincterotomy and fundoplication under gastroscopic location are an effective and safe surgical procedure of minimal invasion for cardiac achalasia.