الهدف: دراسة نتائج معالجة الأكالازيا بتنظير البطن من خلال خزع عضلية المري حسب هيلر مع طي قاع المعدة الجزئي أو الكامل، و تحديد فائدة هذه المعالجة و مضاعفاتها على المدى الطويل.
أجريت الدراسة بالطريقة التراجعية و المستقبلية في مستشفى الأسد الجامعي
بدمشق خلال 3 سنوات و قد شملت جميع المرضى الذين عولجوا بخزع عضلية المري حسب هيلر بتنظير البطن مع إجراء مضاد للقلس بين عامي 2005 و 2008.
Objective: To determine the results of laparoscopic Heller myotomy with
complete or partial fundoplication for the treatment of achalasia and
evaluating its longterm benefits and complications.
The study was performed retrospectively and prospectively,
including all patients with achalsia who where treated by laparoscopic
Heller myotomy with fundoplication in Al Assad University Hospital in
Damascus between 2005 and 2008.
References used
Torquati A, Richards WO, Holzman MD, et al. Laparoscopic myotomy for achalasia: predictors of successful outcome after 200 cases. Annals of Surgery. 2006; 243(5):587-93
Rossetti G, Brusciano L, Amato G, et al. A total fundoplication is not an obstacle to esophageal emptying after Heller myotomy for achalasia: results of a long-term follow up. Annals of Surgery. 2005; 241(4):614-21
Ramacciato G, Mercantini P, Amodio PM, et al. Minimally invasive surgical treatment of esophageal achalasia. JSLS. 2003;7:219-225
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