Video-assisted thoracoscopic esophagomyotomy for achalasia after pulmonary lobectomy |
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| Authors: | Koji Mikami Katsunobu Kawahara Riichiro Maruyama Hitoshi Ueda Takayuki Shirakusa Akira Motohiro |
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| Affiliation: | 1. Second Department of Surgery, School of Medicine, Fukuoka University, Fukuoka, Japan
2. Department of Surgery, National Minami Chest Hospital, Yakatabaru, Minamiku, 811-1351, Fukuoka, Japan
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| Abstract: | A 52-year-old man developed achalasia and a lung abscess due to aspiration pneumonia. We conducted a right upper lobectomy by thoracotomy for the abscess and, 2 weeks later, video-assisted thoracoscopic myotomy and fundoplication (modified Belsey Mark IV procedure) though the left thorax for achalasia. Three months after surgery, the patient was free of dysphasia and chest pain and had regained his original weight Esophageal myotomy and fundoplication using video-assisted thoracoscopy appear to be feasible in treating achalasia involving impaired pulmonary function. |
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