Video-Assisted Laparoscopic Surgery in Achalasia

Pinotti, H.W.; Nasi, Ary; Domene, Carlos Eduardo; Santo, Marco Aurélio; Libanori, Hilton Telles

doi:10.1007/978-4-431-68246-2_17

Cited by 2 publications

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“…The surgical technique is based on the standard Department orientation (28,29) . The nine patients who underwent only cholecystectomy were lain in dorsal decubitus, with the right arm stretched along the body and the left stretched out at a right angle.…”

Section: Standards and Methodsmentioning

confidence: 99%

Videolaparoscopic cholecystectomy. Analysis of the clinical and functional aspects of mechanical lifting of the abdominal wall

Santo

Domene

Nasi

et al. 2001

Arq. Gastroenterol.

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Section: Standards and Methodsmentioning

confidence: 99%

Videolaparoscopic cholecystectomy. Analysis of the clinical and functional aspects of mechanical lifting of the abdominal wall

Santo

Domene

Nasi

et al. 2001

Arq. Gastroenterol.

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“…Heller's esophageal myotomy is then performed: the muscle fibers in the longitudinal and circular layers of the lower esophagus and proximal stomach are broadly and carefully sectioned by a six to eight cm extension in the esophagus and two to three cm in the stomach. The submucosa remains exposed and the fibers of the esophageal sphincter sectioned, there are technical variants such as the Pinotti technique, that resect a band of esophageal musculature [10,11]. After performing the esophageal myotomy, it is confectioned an anti-reflux fundoplication, some authors recommend not making the valve.…”

Section: Surgical Techniquementioning

confidence: 99%

Modified Heller´s Esophageal Myotomy Associated with Dor’s Fundoplication A Surgical Alternative for the Treatment of Dolico Megaesophagus

F¹

2019

GMR

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The most performed surgery for the treatment of achalasia is Heller´s esophageal myotomy associated or no with anti-reflux fundoplication. We propose in cases of advanced megaesophagus, specifically in the dolico megaesophagus, a technical variation. The aim of this study was to describe Heller´s myotomy modified by Madureira associated with Dor´s fundoplication as an alternative for the treatment of dolico megaesophagus, assessing its effectiveness at through dysphagia scores and quality of life questionnaires. Materials and methods:Technical Note describing the surgical procedure and presenting the results of three patients with advanced dolico megaesophagus, operated from 2014 to 2017. The technique proposes the dissection of the esophagus intrathoracic, with circumferential release of it, in the most extensive possible by trans hiatal route. Then the esophagus is retracted and fixed circumferentially in the pillars of the diaphragm with six or seven point. The goal is at least on the third part of the esophagus, to achieve its broad mobilization and rectification of it; then is added a traditional Heller myotomy. Results:The mean dysphagia score in pre-op was 10points and in the post-op was 1.3 points (maximum of 10 points being observed each between the pre and postoperative 8.67 points, 86.7%) The mean hospitalization time was one day. There was no surgical mortality or conversion to open technique. The mean follow-up time was 30.6 months (24-38 months) (Table 1). Heller's Cardio myotomy modified by Madureira, associated with Dor's fundoplication is an option to be investigated for the treatment of the dolico megaesophagus.

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Video-Assisted Laparoscopic Surgery in Achalasia

Cited by 2 publications

References 0 publications

Videolaparoscopic cholecystectomy. Analysis of the clinical and functional aspects of mechanical lifting of the abdominal wall

Videolaparoscopic cholecystectomy. Analysis of the clinical and functional aspects of mechanical lifting of the abdominal wall

Modified Heller´s Esophageal Myotomy Associated with Dor’s Fundoplication A Surgical Alternative for the Treatment of Dolico Megaesophagus

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