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首页> 外文期刊>Surgical Endoscopy >Results of the laparoscopic Heller-Dor procedure for pediatric esophageal achalasia.
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Results of the laparoscopic Heller-Dor procedure for pediatric esophageal achalasia.

机译：腹腔镜Heller-Dor手术治疗小儿食管门失弛缓症的结果。

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BACKGROUND: Esophageal achalasia is not a frequent disorder in children and different treatments have been proposed during past decades. This study reviews the results of the laparoscopic Heller-Dor procedure performed in pediatric patients in two different surgical units. METHODS: We included the patients aged <14 years with a minimum follow-up of 6 months operated on in the period 1994-2001. A single longitudinal anterior esophageal myotomy (Heller) and a 180 degrees anterior gastropexy (Dor) were laparoscopically performed. The patients were checked to detect intra- or postoperative complications and recurrence. RESULTS: Twenty children were operated on. Mean follow-up was 45 months (range 6-102). Postoperative clinical score was Visick 1 in 15 cases and Visick 2 in five. CONCLUSIONS: As complication and recurrence rates are very low we consider modified Heller myotomy and Dor gastropexy through a laparoscopic approach our first choice to treat esophageal achalasia in the pediatric population.
机译：背景：食管性门失弛缓症在儿童中并不常见，在过去的几十年中已提出了不同的治疗方法。这项研究回顾了在两个不同手术单元中对儿科患者进行的腹腔镜Heller-Dor手术的结果。方法：我们纳入了1994年至2001年间<14岁且至少随访6个月的患者。腹腔镜下进行单一纵向食管纵切肌切开术（Heller）和180度前胃切除术（Dor）。检查患者以检测术中或术后并发症和复发。结果：20名儿童接受了手术。平均随访45个月（范围6-102）。术后临床评分为15例Visick 1分和5例Visick 2分。结论：由于并发症和复发率很低，因此我们认为通过腹腔镜方法改良的Heller肌切开术和Dor腹直肌切开术是治疗小儿食管性门失弛缓症的首选。

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