腹腔镜Heller肌切开治疗贲门失迟缓症

Laparoscopic Heller operation for esophageal achalasia

目的阐述腹腔镜治疗贲门失迟缓症的方法及探讨腹腔镜技术在治疗贲门失迟缓症中的安全性和可行性。方法回顾性分析6例腹腔镜治疗贲门失迟缓症患者的手术方式,术后恢复情况。结果6例患者手术过程顺利,手术时间为(101.7±11.7)min,术中失血量为(48.3±9.8)mL,术后第1天可进流质饮食,1周可过度至普食,术后住院天数为(4.7±1.0)d,半年至1年随访未见复发。结论腹腔镜治疗贲门失迟缓症安全、有效,具有可行性,值得推广。

[Objective] To expound on the method of laparoseopie operation for esophageal aehalasia and to investigate the safety and feasibility of using laparoseopy for esophageal aehalasia. [Methods] Retrospective analysis of surgical methods and recovery was made in patients with esophageal aehalasia who underwent laparosoopie Heller operation in our surgical ward between the period of July 2007 and August 2008. [Results] Operations were performed successfully in 6 patients with operation time of （101.7±11.7） minutes and blood loss of （48.3±9.8） mL. All the patients received fluid diet one day after operation and progressively returned to normal diet after 7 days. Hospital stay after operation was （4.7±1.0） days and follow-up （6-12 months） showed no relapse. [Conclusion] Laparoseopic Heller operation for esophageal achalasia can be performed safely and effectively with the advantage of minimal-invasion.