Shimi S, Nathanson L K, Cuschieri A
Department of Surgery, Ninewells Hospital and Medical School, University of Dundee, UK.
J R Coll Surg Edinb. 1991 Jun;36(3):152-4.
A technique of laparoscopic cardiomyotomy is described. The procedure has been performed in a patient with manometrically confirmed classical achalasia with complete relief of episodic total dysphagia and no untoward symptoms including reflux. The procedure was followed by minimal postoperative discomfort and the patient was discharged on the third postoperative day. Laparoscopic cardiomyotomy has the advantage of diminished surgical trauma with accelerated recovery, constitutes definitive therapy comparable to standard myotomy, and by being less disruptive of the lower oesophageal fixation it is prone to precipitate gastro-oesophageal reflux.
本文描述了一种腹腔镜贲门肌切开术。该手术已在一名经测压确诊为典型贲门失弛缓症的患者身上实施，患者发作性完全吞咽困难得到完全缓解，且未出现包括反流在内的不良症状。术后不适轻微，患者于术后第三天出院。腹腔镜贲门肌切开术具有手术创伤小、恢复快的优点，是一种与标准肌切开术相当的确定性治疗方法，并且由于对食管下段固定的干扰较小，不易引发胃食管反流。
