腹腔镜改良Heller手术治疗贲门失弛缓症

目的:探讨腹腔镜改良Heller术治疗贲门失弛缓症的临床应用价值。方法:2004年2月至2008年4月我们为6例贲门失弛缓症患者行腹腔镜改良Heller术并随访。结果:手术时间45~122min,平均(74.0±29.0)min;术中出血5~65ml,平均(23.7±22.7)ml;无一例中转开腹及并发症发生;住院3~8d,平均(5.5±1.8)d。术后随访3~46个月,平均(26.8±16.2)月,5例症状缓解,1例轻度吞咽困难。结论:腹腔镜改良Heller手术具有术野清晰、并发症少、患者创伤小、康复快、住院时间短等优点,是治疗贲门失弛缓症首选方法之一。

Laparoscopic modified Heller myotomy for the treatment of cardia achalasia

Objective:To investigate the clinical application value of laparoscopic modified Heller myotomy in treatment of achalasia.Methods:Clinical data of 6 patients underwent laparoscopic modified Heller myotomy from Feb.2004 to Apr.2008 were analyzed,and all the cases were followed up.Results:The operative time was 45-122min,the mean was (74.0±29.0)min;intraoperative hemorrhage volume was 5-65ml,averaged (23.7±22.7)ml.There were no conversion to open procedures and no postoperative complication or deaths.The postoperative hospitalization time was 3-8d,averaged (5.5±1.8)days.Follow-up time was (3-46) months, averaged (26.8±16.2) months.The symptoms of 5 patients were relieved and only one case happened a little dysphagia.Conclusions:Laparoscopic modified Heller myotomy has many advanteges,for example better operating exposure,less trauma,less complications,quicker recovery and shorter postopertative stay,which may be the preferred surgical treatment of achalasia in some patients.