Laparoscopic Procedure According to Heller

Czech version

Authors: Z. Kala; V. Procházka; F. Marek; Jiří Dolina ¹; A. Hep ¹; R. Kroupa ¹
Authors‘ workplace: Chirurgická klinika FN Brno-Bohunice, přednosta prof. MUDr. J. Vomela, CSc. ; Interní gastroenterologická klinika FN Brno-Bohunice ¹
Published in: Rozhl. Chir., 2006, roč. 85, č. 7, s. 357-360.
Category: Monothematic special - Original

Overview

Oesophageal achalasia is a rare disorder. For patients in good overall condition, surgical management – myotomy – is one of the treatment options. This study describes the technique of laparoscopic myotomy sured by partial antireflux cuff. 35 patients were operated. Only in 3 cases, further follow-up was required for dysphagia. None of the patients required re-operation. No serious peroperative or postoperative complications were recorded. Importance of peroperative oesophagogastroscopy in assessment of adequate extent of myotomy and in excluding perforations of the oesophageal mucosa is put forward.

Key words:
achalasia – surgery – laparoscopy – peroperative oesophagoscopy – antireflux procedure