...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Laparoscopic Heller's cardiomyotomy in achalasia. Is intraoperative endoscopy useful, and why?
【24h】

Laparoscopic Heller's cardiomyotomy in achalasia. Is intraoperative endoscopy useful, and why?

机译：门失禁腹腔镜海勒氏心肌切开术。术中内窥镜检查有用吗？为什么？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Inappropriate length of the myotomy incision along the stomach, the most common technical fault during Heller's cardiomyotomy, is related to the difficulty of identifying the gastro-esophageal junction, in particular during laparoscopic surgery. The goal of this study was to evaluate the contribution of endoscopy to gastro-esophageal junction identification during laparoscopic Heller's cardiomyotomy. METHODS: In a group of 19 patients with intraoperative endoscopy with laparoscopic Heller's cardiomyotomy, surgical and endoscopic criteria for gastro-esophageal junction identification have been assessed. Then postoperative results of this group were compared with those of another group of 16 patients previously operated on without intraoperative endoscopy. RESULTS: Endoscopic and laparoscopic criteria for gastro-esophageal junction identification were discordant in 11 patients (11/19, 58%). The cardia was in all these cases at a more distal site with endoscopic criteria. Complications ascribable to suboptimal technique were more frequent in the group without intraoperative endoscopy (7/16 patients) than in the other group (2/19 patients). CONCLUSIONS: Endoscopy during laparoscopic Heller's cardiomyotomy is of great assistance in identifying the cardia, and thereby could improve surgical outcomes.
机译：背景：沿胃的肌切开切口长度不适当，这是海勒氏心肌切开术中最常见的技术缺陷，与识别胃食管连接处的困难有关，尤其是在腹腔镜手术期间。这项研究的目的是评估腹腔镜海勒氏心肌切开术期间内窥镜检查对胃-食管连接鉴定的贡献。方法：在一组19例术中内镜伴腹腔镜Heller心肌切开术的患者中，评估了胃镜与食管连接的手术和内镜标准。然后将该组的术后结果与之前未进行术中内镜检查的另一组16例患者的术后结果进行比较。结果：11例患者（11/19，58％）的内镜和腹腔镜诊断胃食管连接的标准不一致。在所有这些情况下，以内窥镜检查标准，门均位于远端部位。没有术中内镜检查的组（7/16例）比其他组（2/19例）更容易因技术欠佳而引起的并发症。结论：腹腔镜海勒氏心肌切开术中的内窥镜检查有助于识别the门，因此可以改善手术效果。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号