Results of the surgical treatment of non-advanced megaesophagus using Heller-Pinotti's surgery: Laparotomy vs. Laparoscopy
Clinics
;
66(1): 41-46, 2011. ilus, tab
Artículo
en Inglés
| LILACS
| ID: lil-578594
ABSTRACT
INTRODUCTION:
Dysphagia is the important symptom in achalasia, and surgery is the most common treatment. The Heller-Pinotti technique is the method preferred by Brazilian surgeons. For many years, this technique was performed by laparotomy, and now the laparoscopic method has been introduced. The objective was to evaluate the immediate and long-term results of patients submitted to surgery by either laparotomy or laparoscopy. MATERIALS ANDMETHODS:
A total of 67 patients submitted to surgery between 1994 and 2001 with at least 5 years of follow-up were evaluated retrospectively and divided into two groups laparotomy (41 patients) and laparoscopy (26 patients). Chagas was the etiology in 76.12 percent of cases. Dysphagia was evaluated according to the classification defined by Saeed et al.RESULTS:
There were no cases of conversion to open surgery. The mean duration of hospitalization was 3.32 days for laparotomy and 2.54 days for laparoscopy (p<0.05). An improvement in dysphagia occurred with both groups reporting good or excellent results (laparotomy 73.17 percent and laparoscopy 73.08 percent). Mean duration of follow-up was 8 years.CONCLUSIONS:
There was no difference between the two groups with respect to relief from dysphagia, thereby confirming the safety and effectiveness of the Heller-Pinotti technique, which can be performed by laparotomy or laparoscopy, depending on the surgeon's experience.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Acalasia del Esófago
/
Laparoscopía
/
Laparotomía
Tipo de estudio:
Estudio de etiología
/
Estudios de evaluación
/
Estudio observacional
/
Factores de riesgo
Límite:
Adolescente
/
Adulto
/
Anciano
/
Femenino
/
Humanos
/
Masculino
País/Región como asunto:
America del Sur
/
Brasil
Idioma:
Inglés
Revista:
Clinics
Asunto de la revista:
Medicina
Año:
2011
Tipo del documento:
Artículo
País de afiliación:
Brasil
Institución/País de afiliación:
University of Campinas/BR
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