Taniguchi E, Kamiike W, Iwase K, Nishida T, Miyata M, Inoue M, Ohashi S, Okada T, Matsuda H
First Department of Surgery, Osaka University, School of Medicine, Japan.
Surg Endosc. 1995 Jul;9(7):817-9. doi: 10.1007/BF00190089.
Laparoscopic extramucosal myectomy with anterior fundoplication according to the Dor technique was performed on a 24-year-old-woman. Intraoperative inflation of a pneumatic balloon made the operative procedures such as extended submucosal dissection quite easy. Intraoperative gastrofiberscopy was useful for confirming that the remaining mucosal layer was not injured after completion of myectomy. Intraoperative manometry confirmed a complete decompression of the high-pressure zone in the lower esophageal sphincter. Complete relief of the symptoms has been recognized for 6 months after operation without any medication. It is considered that these laparoscopic procedures including intraoperative inflation of a pneumatic balloon, gastrofiberscopy, and intraoperative manometry can be used as a standard operation for esophageal achalasia.
对一名24岁女性实施了根据Dor技术进行的腹腔镜黏膜外肌层切除术并加做前壁胃底折叠术。术中通过充气式气囊扩张使诸如扩大黏膜下剥离等手术操作变得相当容易。术中胃镜检查有助于确认肌层切除术后剩余黏膜层未受损伤。术中测压证实食管下括约肌高压区完全减压。术后6个月症状完全缓解，无需任何药物治疗。据认为，这些包括术中充气式气囊扩张、胃镜检查和术中测压在内的腹腔镜手术可作为贲门失弛缓症的标准手术。
