Smith Shane P, Louie Brian E
Swedish Medical Center and Cancer Institute, Seattle, WA, USA.
J Vis Surg. 2017 Sep 14;3:122. doi: 10.21037/jovs.2017.07.11. eCollection 2017.
Achalasia is an acquired neuromuscular disorder that has been treated using a variety of modalities throughout medical history. Recently, the technique of per oral endoscopic myotomy (POEM) was introduced to treat the disease using a truly minimally invasive, natural orifice technique that is rapidly being adopted across the world. This review outlines the development of POEM, the technique itself, and gives a comparison to other procedures, specifically laparoscopic Heller myotomy (LHM).
贲门失弛缓症是一种获得性神经肌肉疾病,在医学史上一直采用多种方式进行治疗。最近,经口内镜下肌切开术(POEM)技术被引入用于治疗该疾病,它采用了一种真正微创的自然腔道技术,并且正在迅速在全球范围内得到应用。本综述概述了POEM的发展、技术本身,并与其他手术方法进行了比较,特别是腹腔镜下Heller肌切开术(LHM)。