Results of 21 cases of laparoscopic Heller myotomy with Dor fundoplication for achalasia Yasushi SEKINO 1 , Masahiro SAKON 1 , Kazuhisa MIKAMI 2 , Koichi OKITA 1 , Kei KUSAMA 1 , Hitoshi SEKI 1 , Yasuhiro MUNAKATA 1 1Department of Surgery, Nagano Municipal Hospital 2Department of Surgery, Jyohoku Hospital Keyword: 食道アカラシア , 腹腔鏡下手術 , Heller-Dor法 pp.613-618
Published Date 2008/10/15
DOI https://doi.org/10.11477/mf.4426100270
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 We reviewed and discussed 21 cases which underwent laparoscopic Heller myotomy with Dor fundoplication for achalasia at our hospital. The mean operative time was 182 min(range : 130~253 min)and estimated blood loss was 51 ml(range, minimal~160 ml). Mucosal perforation occurred in 2 cases, but they were repaired at the time of the laparoscopic surgery and the patients had no sequelae. Diet was started on 1.4 POD(range, 1-4)and the mean postoperative hospital stay was 7 days(range, 4-12). The rate of symptomatic relief was 100%and there was significant body weight gain between preoperative time and one year after the operation. There is no recurrence of symptoms and severe postoperative complications during mean 49.3 months follow-up(range, 1-112 months). Laparoscopic Heller myotomy with Dor fundoplicaion for Achalasia is less invasive and effective treatment and seems to be the first-line therapeutic approach.

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