Balaji Nagammapudur S, Peters Jeffrey H
Department of Surgery, University of Southern California, 1510 San Pablo Street, HCC 514, Los Angeles, CA 90033, USA.
Surg Clin North Am. 2002 Aug;82(4):763-82. doi: 10.1016/s0039-6109(02)00034-8.
Laparoscopic Heller myotomy has emerged as an excellent primary treatment for patients with dysphagia secondary to achalasia. A laparoscopic rather than thoracoscopic approach has stood the test of time. An antireflux procedure combined with the myotomy is crucial to the maintenance of the antireflux barrier. Thoracoscopic long myotomy offers effective relief for spastic disorders of the esophagus. Endoscopic stapled diverticulotomy is a safe and effective procedure for Zenker's diverticulum and has potential advantages over the open approach.
腹腔镜下贲门肌层切开术已成为治疗贲门失弛缓症继发吞咽困难患者的一种出色的主要治疗方法。腹腔镜而非胸腔镜手术方式经受住了时间的考验。抗反流手术与肌层切开术相结合对于维持抗反流屏障至关重要。胸腔镜下长肌层切开术可为食管痉挛性疾病提供有效的缓解。内镜下吻合器憩室切开术是治疗Zenker憩室的一种安全有效的方法，与开放手术相比具有潜在优势。
