| Laparoscopic Heller myotomy with or without partial fundoplication： A matter of debate |
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| 引用本文： | Ramacciato G,D'Angelo FA,Aurello P,Del Gaudio M,Varotti G,Mercantini P,Bellagamba R,Ercolani G. Laparoscopic Heller myotomy with or without partial fundoplication： A matter of debate[J]. World journal of gastroenterology : WJG, 2005, 11(10): 1558-1561. DOI: 10.3748/wjg.v11.i10.1558 |
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| 作者姓名： | Ramacciato G D'Angelo FA Aurello P Del Gaudio M Varotti G Mercantini P Bellagamba R Ercolani G |
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| 作者单位： | Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D",Universita' degli Studi di Roma "La Sapienza"-Ⅱ Facolta' di Medicina e Chirurgia. Ospedale Sant'Andrea-UOC Chirurgia "D" Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia,Via di Grottarossa n°1035-1037,00189 Roma,Italia |
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| 摘 要： | AIM: To present our experience of laparoscopic Heller stretching myotomy followed by His angle reconstruction as surgical approach to esophageal achalasia. METHODS: Thirty-two patients underwent laparoscopic Heller myotomy; an anterior partial fundoplication in 17, and angle of His reconstruction in 15 cases represented the antireflux procedure of choice. RESULTS: There were no morbidity and mortality recorded in both anterior funduplication and angle of His reconstruction groups. No differences were detected in terms of recurrent dysphagia, p.o. reflux or medical therapy. CONCLUSION: To reduce the incidence of recurrent achalasia after laparoscopic Heller myotomy, we believe that His' angle reconstruction is a safe and effective alternative to the anterior fundoplication.
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| 关 键 词： | 腹腔镜手术 肌切开术 胃底手术 食管疾病 |
| 收稿时间： | 2004-08-31 |
Laparoscopic Heller myotomy with or without partial fundoplication: a matter of debate |
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| Ramacciato G,D'Angelo F A,Aurello P,Del Gaudio M,Varotti G,Mercantini P,Bellagamba R,Ercolani G. Laparoscopic Heller myotomy with or without partial fundoplication: a matter of debate[J]. World journal of gastroenterology : WJG, 2005, 11(10): 1558-1561. DOI: 10.3748/wjg.v11.i10.1558 |
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| Authors: | Ramacciato G D'Angelo F A Aurello P Del Gaudio M Varotti G Mercantini P Bellagamba R Ercolani G |
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| Affiliation: | Universita' degli Studi di Roma "La Sapienza" - Ⅱ Facolta' dj Medicina e Chimrgia. Ospedale Sant'Andrea - UOC Chirurgia "D",Via di Grottarossa n° 1035-1037,00189 Roma, Italia |
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| Abstract: | AIM: To present our experience of laparoscopic Heller stretching myotomy followed by His angle reconstruction as surgical approach to esophageal achalasia. METHODS: Thirty-two patients underwent laparoscopic Heller myotomy; an anterior partial fundoplication in 17, and angle of His reconstruction in 15 cases represented the antireflux procedure of choice. RESULTS: There were no morbidity and mortality recorded in both anterior funduplication and angle of His reconstruction groups. No differences were detected in terms of recurrent dysphagia, p.o. reflux or medical therapy. CONCLUSION: To reduce the incidence of recurrent achalasia after laparoscopic Heller myotomy, we believe that His' angle reconstruction is a safe and effective alternative to the anterior fundoplication. |
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| Keywords: | Achalasia Gastroesophageal reflux Laparoscopic Heller myotomy |
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