CAJ | 학술논문

目的分析腹腔镜手术治疗贲门失弛缓症的并发症以及中短期疗效.方法回顾性分析腹腔镜手术治疗贲门失弛缓症41例患者的临床资料,观察疗效.结果 41例患者无死亡病例.所有患者均行腹腔镜Heller食管贲门肌切开术与胃底折叠术,其中39例患者行Dor前部分胃底折叠术,2例患者存在裂孔疝行Toupet胃底折叠术.手术时间平均142 min.7例发生术中并发症,其中6例为轻度并发症.术后平均随访21个月.临床疗效优27例,良7例,一般5例,差2例.结论腹腔镜Heller食管贲门肌切开术中短期的疗效较好,并发症发生率低,可作为贲门失弛缓症的首选治疗方法.
목적 분석복강경수술치료분문실이완증적병발증이급중단기료효.방법 회고성분석복강경수술치료분문실이완증41례환자적림상자료,관찰료효.결과 41례환자무사망병례.소유환자균행복강경Heller식관분문기절개술여위저절첩술,기중39례환자행Dor전부분위저절첩술,2례환자존재렬공산행Toupet위저절첩술.수술시간평균142 min.7례발생술중병발증,기중6례위경도병발증.술후평균수방21개월.림상료효우27례,량7례,일반5례,차2례.결론 복강경Heller식관분문기절개술중단기적료효교호,병발증발생솔저,가작위분문실이완증적수선치료방법.
Objective To analyze the complications and short-term effects of laparoscopic surgery for achalasia.Methods The clinical data of 41 patients with achalasia who were treated by laparoscopic surgery were analyzed retrospectively.Results The 41 patients were no deaths.All patients underwent Heller cardiomyotomy and fundoplication,39 patients with Dor anterior fundoplication,2 patients had the presence of hiatal hernia with Toupet fundoplication.The mean surgical time was 142 min.Intraoperative complications occurred in 7 cases,including 6 cases of mild complications.The mean follow-up was 21 months.The clinical efficacy excellent in 27 cases,good in 7 cases,generally in 5 cases,poor in 2 cases.Conclusions Heller cardiomyotomy should be the treatment of choice in achalasia patients,because of its short and medium term outcomes,and its low morbidity.