Arreola-Risa C, Sinanan M, Pellegrini C A
Department of Surgery, University of Washington School of Medicine, Seattle, USA.
Chest Surg Clin N Am. 1995 Aug;5(3):459-69.
In summary, the authors believe that minimally invasive surgery has added a new dimension to the treatment of achalasia. Thoracoscopic myotomy is feasible, safe, and effective in relieving dysphagia in the great majority of individuals affected with this disease without the many problems associated with dilatation; thus, the authors offer it to patients with achalasia as the initial and preferred form of treatment. Whether an antireflux procedure should be routinely added and whether a laparoscopic rather than a thoracoscopic approach is preferred, remains unanswered questions at this time.
总之，作者认为微创手术为贲门失弛缓症的治疗增添了新的维度。对于绝大多数患有这种疾病的人来说，胸腔镜下肌切开术在缓解吞咽困难方面是可行、安全且有效的，并且没有与扩张相关的诸多问题；因此，作者将其作为贲门失弛缓症患者的初始且首选治疗方式。目前，是否应常规添加抗反流手术以及腹腔镜手术而非胸腔镜手术是否更受青睐，仍是未解决的问题。
