Minimally invasive surgery for esophageal achalasia

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Minimally Invasive Surgical Treatment of Esophageal Achalasia

BACKGROUND AND OBJECTIVES A minimally invasive approach is considered the treatment of choice for esophageal achalasia. We report the evolution of our experience from thoracoscopic Heller myotomy (THM) to laparoscopic Heller myotomy (LHM). Our objective is to define the efficacy and safety of these 2 approaches. METHODS Between March 1993 and December 2001, 36 patients underwent minimally inv...

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Open esophagectomy (OE) requires extensive surgery and is associated with significant morbidity and mortality. Furthermore, the long-term results of esophageal cancer surgery are not satisfactory; hence, the best surgical approach is constantly under debate. During the last twenty years, minimally invasive esophagectomy (MIE) employing laparoscopy and/or thoracoscopy has been introduced in a gr...

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Surgery or Peroral Esophageal Myotomy for Achalasia

To date very few studies with small sample size have compared peroral esophageal myotomy (POEM) with the current surgical standard of care, laparoscopic Heller myotomy (LHM), in terms of efficacy and safety, and no recommendations have been proposed.To investigate the efficacy and safety of POEM compared with LHM, for the treatment of achalasia.The databases of Pubmed, Medline, Cochrane, and Ov...

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Laparotomic approach in "achalasia surgery". Have still a role in minimally invasive laparoscopic surgery era?

Laparotomy can be considered as an access route among options that any oesophagus surgeon has to include in his technical experience. It can therefore either be chosen when the right indication emerges or be suggested as first line-procedure by the surgeon when he is sure that it can guarantee the best possible outcomes. Outcome that, in the Author's experience, show the surgical procedure Hell...

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ژورنال

عنوان ژورنال: Journal of Thoracic Disease

سال: 2016

ISSN: 2072-1439,2077-6624

DOI: 10.21037/jtd.2016.06.35