Patel Jainil, Kalikar Vishakha, Patankar Roysuneel, Supe Avinash
Department of Surgery, Zen Hospital, Mumbai, IND.
Cureus. 2024 Dec 8;16(12):e75344. doi: 10.7759/cureus.75344. eCollection 2024 Dec.
Achalasia cardia is a primary motility disorder of the esophagus marked by the absence of peristalsis and the failure of the lower esophageal sphincter (LES) to relax during swallowing. The preferred surgical approach is laparoscopic Heller's cardiomyotomy with Dor's fundoplication. Given the significant risks of mucosal perforation and the possibility of incomplete myotomy, which can lead to symptom recurrence, it is essential to ensure both the completeness of the myotomy and the preservation of the mucosal integrity. In this study, we present a case series of 15 patients diagnosed with achalasia cardia who underwent laparoscopic Heller's cardiomyotomy with Dor's fundoplication. Intraoperatively, we utilized intraluminal administration of indocyanine green (ICG) dye as an alternative to endoscopy to assess the completeness of the myotomy and to check for any mucosal perforations.
贲门失弛缓症是一种食管原发性动力障碍性疾病，其特征是吞咽时缺乏蠕动且食管下括约肌（LES）不能松弛。首选的手术方法是腹腔镜下Heller贲门肌切开术加Dor胃底折叠术。鉴于存在黏膜穿孔的重大风险以及肌切开不完全可能导致症状复发，确保肌切开的完整性和黏膜完整性的保留至关重要。在本研究中，我们展示了一组15例被诊断为贲门失弛缓症并接受腹腔镜下Heller贲门肌切开术加Dor胃底折叠术的患者病例系列。术中，我们采用腔内注射吲哚菁绿（ICG）染料作为内镜检查的替代方法，以评估肌切开的完整性并检查是否存在任何黏膜穿孔。
