...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Surgical Endoscopy >Technique and follow-up of minimally invasive Heller myotomy for achalasia.
【24h】

Technique and follow-up of minimally invasive Heller myotomy for achalasia.

机译：门失弛缓性微创海勒肌切开术的技术和随访。

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: Laparoscopic Heller myotomy has been proven effective. Reliable predictive factors for outcome and the true benefit of the da Vinci robotic system, however, remain unknown. METHODS: Seventy patients underwent laparoscopic Heller myotomy. The number of intraoperative perforations and the symptom-predictive value of postoperative esophagogram width measurement at the gastroesophageal junction were analyzed. RESULTS: The overall complication rate was 11%. Four patients experienced intraoperative perforation during the laparoscopic technique. No perforations were experienced with the da Vinci robotic system (n = 19). Of the total, 82% of patients had resolution of dysphagia, 91% of regurgitation, 91% of heartburn and 82% of chest pain. Immediate postoperative esophagogram gastroesophageal junction width demonstrated a positive predictive trend from 0 to 10 mm for dysphagia. CONCLUSION: Laparoscopic Heller myotomy is an effective treatment for achalasia. Immediate postoperative esophagogram gastroesophageal junction width measurement as a predictor for symptom resolution requires further study.
机译：背景：腹腔镜Heller肌切开术已被证明是有效的。然而，达芬奇机器人系统的可靠结果和真正收益的​​可靠预测因素仍然未知。方法：70例患者接受了腹腔镜Heller肌切开术。分析了胃食管交界处的术中穿孔次数和术后食道宽度测量的症状预测值。结果：总并发症发生率为11％。四名患者在腹腔镜技术中经历了术中穿孔。达芬奇机器人系统（n = 19）没有打孔。在所有患者中，有82％的患者有吞咽困难缓解，91％的反流，91％的胃灼热和82％的胸痛。术后即刻食管胃食管连接宽度显示吞咽困难的阳性预测趋势为0至10 mm。结论：腹腔镜Heller肌切开术是治疗门失弛缓症的有效方法。术后立即进行食管胃食管连接宽度测量，以作为症状缓解的预测指标，需要进一步研究。

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