Olah T, Szendrényi V, Wittmann T, Fehér A, Rosztóczy A, Kiss I, Balogh A
Szent-Györgyi Albert Orvostudományi Egyetem, Szeged, Sebészeti Klinika.
Orv Hetil. 1997 Jan 5;138(1):11-3.
We performed left thoracoscopic esophagomyotomy in four patients suffering from achalasia cardiac. In one patients the esophageal mucosa was opened during the myotomy. This was sutured through thoracoscopy and the per os feeding of the patient started on the 8th postoperative day, while in the other three patients this was done on the 2nd postoperative day. The mean emission of the patients was on the 6th postoperative day. Comparison of the status before and 6 weeks following the operation was done on the basis of results of different examinations i. e. x-ray, esophago-gastroscopy, manometry, pH-metry, isotope test. The favourable results of the operations were declared as all examinations revealed marked improvement and all patients have better swallow function and 6-9 kg increase in body weight.
我们对4例贲门失弛缓症患者实施了左胸段电视胸腔镜食管肌层切开术。其中1例患者在肌层切开术中食管黏膜破裂。通过胸腔镜进行缝合，患者术后第8天开始经口进食，而其他3例患者在术后第2天开始经口进食。患者平均在术后第6天排气。根据不同检查结果，即X线、食管胃镜检查、测压、pH值测定、同位素检查，对手术前后的状况进行了比较。手术取得了良好效果，所有检查均显示明显改善，所有患者吞咽功能更好，体重增加了6 - 9千克。
