نتایج جستجو برای: laparoscopic myotomy
تعداد نتایج: 44050 فیلتر نتایج به سال:
HYPOTHESIS Laparoscopic Heller esophageal myotomy improves esophageal clearance and symptoms of achalasia in the early and late postoperative periods. DESIGN We followed up 98 consecutive patients attending a referral center between February 1, 1994, and July 1, 2000, who underwent laparoscopic myotomy. Operative time, complications, and length of stay were recorded. Postoperative outcomes we...
INTRODUCTION Idiopathic esophageal achalasia was described in 1682 as a motor disorder of smooth muscle. In 1913 transabdominal cardiomyotomy was introduced and in 1958 this technique was popularized via a left thoracotomy, in 1991 laparoscopic cardiomyotomy was introduced since then many surgeons have adopted this technique as the primary treatment of esophageal achalasia. OBJECTIVE Evaluate...
OBJECTIVE To describe the epidemiology, clinical features, and treatment outcome of achalasia in Chinese patients. DESIGN Retrospective study. SETTING Major regional hospital, Hong Kong. PATIENTS Clinical records of patients with the diagnosis of achalasia from July 1997 to June 2007 were reviewed. RESULTS Thirty-two patients were diagnosed with achalasia during the study period. The me...
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...
BACKGROUND AND OBJECTIVES To describe the technique and results of laparoscopic Heller myotomy and Toupet fundoplication combined with epiphrenic diverticulectomy. CASE REPORT A 75-year-old man presented to our institution complaining of dysphagia to solid foods and liquids. The preoperative preparation included a barium swallow, esophagoscopy, and esophageal manometry. Three months earlier, ...
Background. Although open Ramstedt's pyloromyotomy is the gold standard for the surgical management of infantile hypertrophic pyloric stenosis, laparoscopic pyloromyotomy has been found highly successful. Various factors, however, can affect the outcomes of surgical interventions in these patients. We observed a relationship between the number of ports used and outcome in patients undergoing la...
OBJECTIVE A retrospective comparison between Nissen and Dor fundoplication after laparoscopic Heller myotomy for achalasia. MATERIALS AND METHODS From 1998 to 2004 a first group of 48 patients underwent Heller myotomy and Nissen fundoplication for idiopathic achalasia (H+N group). From 2004 to 2010 a second group of 40 patients underwent Heller myotomy followed by Dor fundoplication (H+D grou...
Aim The aim of this study was to evaluate and compare the functional results before and after laparoscopic Heller myotomy for Iranian patients with achalasia. Background Achalasia is a severe neuromuscular disorder of the esophagus, characterized by the loss of peristalsis and an inability of the lower esophageal sphincter (LES) to reach optimal relaxation. Methods In this cross sectional s...
BACKGROUND AND STUDY AIMS Type III achalasia is characterized by rapidly propagating pressurization attributable to spastic contractions. Although laparoscopic Heller myotomy (LHM) is the current gold standard management for type III achalasia, peroral endoscopic myotomy (POEM) is conceivably superior because it allows for a longer myotomy. Our aims were to compare the efficacy and safety of PO...
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