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

doi:10.3877/cma.j.issn.1674-6899.2016.01.002

Abstract

Abstract:

Objective

To investigate the feasibility and efficacy of laparoscopic lower esophageal sphincterotomy and Dor fundoplication for cardiac achalasia patients.

Methods

The 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.

Results

Laparoscopic 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.

Conclusion

Laparoscopic lower esophageal sphincterotomy and fundoplication under gastroscopic location are an effective and safe surgical procedure of minimal invasion for cardiac achalasia.

Key words: Laparoscopes, Gastroscopes, Cardia

Azhatijiang, Maisiyiti Alimujiang·, Abudureyimu Kelimu·. Clinical analyses of laparoscopic lower esophageal sphincterotomy and Dor fundoplication for cardiac achalasia[J]. Chinese Journal of Gastroesophageal Reflux Disease(Electronic Edition), 2016, 03(01): 3-5.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwsgflbdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-6899.2016.01.002

https://zhwsgflbdzzz.cma-cmc.com.cn/EN/Y2016/V03/I01/3

References 13

1	Mayberry JF.Epidemiology and demographics of achalasia[J]. Gastrointest Endosc Clin N Am, 2001, 11(2): 235-248.
2	Podas T,Eaden J,Mayberry M, et al.Achalasia：a critical review of epidemiological stodies[J]. Am J Castroenterol, 1998, 93(12): 2345-2347.
3	Pellegrini C,Wetter LA,Leicbter R. Thoracoscopic esophagomyotomy：Initial experience With a New approach for the treatment of echalasia[J]. Am Surg, 1992, 216(3): 291-296；discussion 296-299.
4	Rosati F,Fomagili U,Bonavina L. Laparoscopic approach to esophageal achalasia[J]. Am Surg, 1995, 169(4): 424-427.
5	Nevbrand M,Schevrlen C,Schephe M. et al.Long-term results and prognostic factors in the treatment of achalasia with botvlinvm toxin[J]. Endoscopy, 2002, 34(7): 519-523.
6	Eckardt VF,Gockel I,Bernhard G. Long-term resvlts of pnevmatic diction for achalasia；a 15 years′expericnce[J]. Gut, 2004, 53(5): 629-633.
7	郑荣洁, 金玲成, 陈伟洲, 蔡萌芽, 等. 可回收抗反流食管支架治疗贲门失弛缓症临床疗效观察[J]. 中国内镜杂志, 2008, 14(11): 1229-1232.
8	Zaninotto G,Gostantini M,Rizzetto C. Four hundred lapa roscopic myotomies for esophageal achalasia；a single centre experience[J]. Am Surg, 2008, 248(6)986-993.
9	Dempaey TD,Delano M,Bradley K, et al.Laparoscopic esophagomyotomy for achalasia：does anterior hemifundoplication affect clinical outcome？[J]. Ann Surg 2004, 239(6): 779-785；discussion 785-787.
10	Tapper D,Morton C,Kroemer E, et al.Does concomitant anterior fundoplication promote dysphagia after laparoscopic Heller myotomy？[J]. Am Surg, 2008, 74(6): 626-633.
11	Fervlano GP,Dilillo S,D′Ambra M, et al.Short and long term results of the laparoscopic Heller-Dor myotomy.The influence of age and previous conservative therapies[J]. Surg Endosc, 2007, 21(11): 2017-2023.
12	蒋斌, 修典荣, 陆少美, 等. 腹腔镜下括约肌切开胃底折叠术治疗贲门失弛缓症[J]. 中国微创外科杂志, 2003, 3(6): 516.
13	杨春雷, 董建敏, 邬林泉. 腹腔镜下Heller肌切开＋Dor胃底折叠术在贲门失弛缓症治疗中的应用[J]. 中国医学创新, 2014, 11(31): 136-139.

[1]	Jinmei He, Lixue Yin, Jing Tan, Wenjun Zhang, Rui Wang, Mei Ren, Mingjiao Liao. Evaluation of potential left ventricular systolic dysfunction in patients with type 2 diabetes mellitus using ultrasonic myocardial work technology [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1029-1035.
[2]	Yanling Xue, Xiaojing Ma, Shurui Xie, Jun He, Juan Xia, Yafeng He. Application value of left ventricular opacification in acute myocardial infarction with ventricular septal rupture [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(10): 1036-1039.
[3]	Hongjuan Zhao, Bowen Zhao, Mei Pan, Yuanyuan Ji, Xiaohui Peng, Ran Chen. Measurement of left ventricular systolic to diastolic time index in normal fetuses in the second and third trimesters using both spectral and tissue Doppler echocardiography [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(09): 951-958.
[4]	Jiaying Sun, Yunzhou Huang, Shutang Ren, Cuihua Wang, Xinhua Chen, Aijia Yu, Yuanlu Chen. No-invasive myocardial work for evaluation of global and segmental myocardial function in patients with left bundle branch block [J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(08): 836-843.
[5]	Xiaohui Du, Jianxin Cui. The strategy of D3 lymph node dissection for laparoscopic radical right hemicolectomy on right colon cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 5-8.
[6]	Yanbing Zhou, Xiaodong Liu. Choice of digestive tract reconstruction after laparoscopic right colectomy of colon cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 9-13.
[7]	Yanhui Zhang, Jiao Zhang, Zhixian Zhu. Effect of indwelling anal tube on anastomotic leakage after laparoscopic total mesangectomy after neoadjuvant chemoradiotherapy in patients with middle and low rectal cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 25-28.
[8]	Chunrong Wang, Jiang Chen, Chen Yu. Clinical application of laparoscopic anatomic left hemihepatectomy through Glisson pedicle extrathecal anatomy and Laennec membrane approach [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 37-40.
[9]	Xiaoyu Li, Qing Jiang, Haiqin Tang, Jingzhi Luo. Clinical study of perioperative comprehensive management in ERCP +LC treatment of patients with choledocholithiasis complicated with acute cholangitis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 57-60.
[10]	Shijiang Pang, Yanyan Huang, Guanlie Zhu. Safety and efficacy of modified π-type anastomosis in laparoscopic total gastrectomy for digestive tract reconstruction [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(01): 66-69.
[11]	Jianxiong Tang, Shaojie Li. Continue to promote the standardization of laparoscopic hernia surgery in China [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 591-594.
[12]	Wen Tian, Xiaodong Yang. Selection and attention of laparoscopic inguinal hernia repair [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2023, 17(06): 595-597.
[13]	Song Xia, Sihui Yao, Yonggang Wang. A comparative study of laparoscopic trans-abdominal preperitoneal hernia repair and mesh plug hernia repair in the treatment of inguinal hernia [J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2023, 17(06): 702-705.
[14]	Wenbin Lin, Zeyuan Zheng, Wenneng Zheng, Yigang Yu. Construction of prediction model for risk of conversion to open surgery in patients with traumatic splenic rupture undergoing laparoscopic splenectomy [J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(06): 619-623.
[15]	Bo Li, Gang Hu, Wenlong Qiu, Jianqiang Tang, Xishan Wang. Multifunctional indocyanine green near infrared fluorescence imaging technique in the application of natural norifice specimen extraction surgery for rectum cancer [J]. Chinese Journal of Colorectal Diseases(Electronic Edition), 2023, 12(06): 524-528.

Please choose a citation manager

Content to export