Varshney Vaibhav Kumar, Soni Subhash Chandra, Kumari Manju, Garg Pawan Kumar, Puranik Ashok
Department of Surgical Gastroenterology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Diagnostic and Interventional Radiology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Minim Access Surg. 2018 Jul-Sep;14(3):253-255. doi: 10.4103/jmas.JMAS_222_17.
Achalasia cardia is an oesophageal motility disorder characterised by aperistalsis and failure of relaxation of the lower oesophageal sphincter. The management is predominantly palliative with focus on addressing the sphincter that involves either pneumatic dilatation or Heller myotomy which relieves dysphagia in the majority of the cases. End-stage achalasia (ESA) is characterised by failed myotomy, massively dilated and tortuous oesophagus with nutritional deterioration due to progressive dysphagia and vomiting. In these subgroups of patients, oesophagectomy may be the last resort. While oesophagectomy has been described for ESA before, thoracoscopic oesophagectomy has not been reported previously. Hereby, we report our experience of performing minimally invasive oesophagectomy (thoracoscopic) with the gastric pull-up.
贲门失弛缓症是一种食管动力障碍性疾病，其特征为无蠕动以及食管下括约肌松弛障碍。治疗主要是姑息性的，重点在于处理括约肌，方法包括气囊扩张术或赫勒肌切开术，多数情况下可缓解吞咽困难。终末期贲门失弛缓症（ESA）的特征为肌切开术失败、食管极度扩张和迂曲，由于进行性吞咽困难和呕吐导致营养状况恶化。在这些患者亚组中，食管切除术可能是最后的手段。虽然之前已有关于ESA行食管切除术的报道，但此前尚未有胸腔镜食管切除术的报道。在此，我们报告我们采用胃上提术进行微创食管切除术（胸腔镜）的经验。
