Bonavina L, Rosati R, Segalin A, Peracchia A
Department of General and Oncologic Surgery, University of Milan, Italy.
Ann Chir Gynaecol. 1995;84(2):165-8.
From January 1992 to December 1994, a laparoscopic oesophageal myotomy combined with Dor fundoplication was performed in 33 patients with oesophageal achalasia. Intraoperative endoscopic balloon distension of the cardia proved useful to identify the oesophagogastric junction, ease the myotomy, and control its completeness. There was no operative mortality. A mucosal tear not requiring conversion occurred in three patients who had previously undergone pneumatic endoscopic dilations of the cardia. The early clinical and functional results show the effectiveness of the operation.
1992年1月至1994年12月，对33例贲门失弛缓症患者实施了腹腔镜食管肌层切开术联合Dor胃底折叠术。术中经内镜对贲门进行球囊扩张有助于识别食管胃交界部、便于肌层切开并控制其完整性。无手术死亡病例。3例曾接受过贲门内镜下气囊扩张术的患者出现了无需中转手术的黏膜撕裂。早期临床和功能结果显示了该手术的有效性。
