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Date Published: 05/05/2025
Abstract Views: 73
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DOI: https://doi.org/10.51298/vmj.v549i3.14002
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Vol. 549 No. 3 (2025)
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Các bài báo
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Nguyễn Văn, T., Nguyễn Văn, H., & Phạm Văn, D. (2025). EVALUATION OF THE RESULTS OF LAPAROSCOPIC HELLER MYOTOMY AND DOR FUNDOPLICATION FOR ACHALASIA AT NGHE AN GENERAL FRIENDSHIP HOSPITAL. Vietnam Medical Journal, 549(3). https://doi.org/10.51298/vmj.v549i3.14002

EVALUATION OF THE RESULTS OF LAPAROSCOPIC HELLER MYOTOMY AND DOR FUNDOPLICATION FOR ACHALASIA AT NGHE AN GENERAL FRIENDSHIP HOSPITAL

Thủy Nguyễn Văn, Hương Nguyễn Văn, Duyệt Phạm Văn

Main Article Content

Abstract

Objective: To evaluate the results of laparoscopic Heller myotomy and Dor fundoplication for achalasia at Nghe An General Friendship Hospital. Subjects and Methods: A prospective descriptive study was conducted on 39 patients diagnosed with esophageal achalasia who underwent laparoscopic Heller myotomy and Dor fundoplication from September 2020 to September 2024. Results: The mean age was 49.03 ± 16.66 years, 69.2% were male. The mean BMI was 19.29 ± 2.61 kg/m², and 84.6% of patients were classified as ASA I. The average total length of the myotomy was 8.22 ± 0.45cm. Intraoperative complications occurred in 4 patients (10.3%), with esophageal mucosal perforation in 2 patients (5.1%). No cases required conversion to open surgery, and there were no postoperative complications. The average blood loss was 7.18 ± 2.99 ml. The mean surgical time was 118.21 ± 23.21 minutes. Postoperatively, mild pain was reported by 94.9% of patients, with an average duration of analgesic use of 1.54 ± 0.43 days. The average time to first flatus was 24.59 ± 6.74 hours,  the average time to resume oral feeding was 2.69 ± 0.8 days, and the average length of hospital stay was 6.26 ± 1.23 days. Conclusion: Laparoscopic surgery for Achalasia using the Heller myotomy plus fundoplication is a safe and effective method, with a low complication rate and a short recovery time post-surgery.

Article Details

Keywords

Achalasia, esophageal motility disorders, laparoscopic Heller myotomy, Dor fundoplication

References

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