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Date Published: 24/03/2023
Abstract Views: 223
Views PDF: 345
DOI: https://doi.org/10.51298/vmj.v524i1B.4756
Issue
Vol. 524 No. 1B (2023)
Section
Các bài báo
How to Cite
Đinh , V. C. ., & Đặng , Q. Ái. (2023). INITIAL EXPERIENCE OF LAPAROSCOPIC FOR THE TREATMENT OF ACHALASIA BY HELLER METHOD WITH DOR ANTI-REFLUX PROCEDURE. Vietnam Medical Journal, 524(1B). https://doi.org/10.51298/vmj.v524i1B.4756

INITIAL EXPERIENCE OF LAPAROSCOPIC FOR THE TREATMENT OF ACHALASIA BY HELLER METHOD WITH DOR ANTI-REFLUX PROCEDURE

Văn Chiến Đinh 1,2, Quốc Ái Đặng 3,4,
1 NGHEAN GENERAL FRIENDSHIP HOSPITAL
2 Vinh University of Medicine
3 Hanoi medical university
4 E hospital

Main Article Content

Abstract

Background: The aim of the present study was to evaluate the results of laparoscopic Heller myotomy with Dor fundoplication. Materials and Methods: Descriptive cross-sectional study. 23 patients with achalasia who underwent laparoscopic Heller myotomy with Dor fundoplication from 2015 to 2021 were enrolled. Results: The average age was 45 years old, 13 (56,5%) males and 10 (43,5%) females. 91.3% patients had dysphagia, the mean dysphagia time was 32,7 months. The results of esophageal barium swallow included normal or slight dilation in 17.4% of cases, bird’s beak sign in 52.2% of cases and sigma form in 30.4% of cases. 78,3% patients had wide esophageal dilation, 39,1% patients had lower esophageal sphincter (LES) spasms when took esophagogastroscopy. The average operation time was 114,9 ± 34,0 mins. The average length of myotomy was 8,39 ± 0,9 cm. 4,3% patients with intraoperative bleeding had to convert to open surgery, 4.3% patients had esophageal mucosa perforation.  There was no complications after surgery. The average length of postoperative hospital stay was 6,7 ± 1,8 days. 82,6% patients assessed the quality of life after surgery for good and very good. Conclusions:  Laparoscopic Heller myotomy with Dor fundoplication for the treatment of achalasia is safe, effective with lower recurrence rates, faster recovery and shorter hospital stay.

Article Details

Keywords

Laparoscopic treatment for achalasia, esophageal achalasia

References

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