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MEDISAN

On-line version ISSN 1029-3019

Abstract

LUZARDO SILVEIRA, Ernesto Manuel  and  EIRIN ARANO, Juana Elisa. Laparoscopic surgery by Heller-Dor technique in patients with achalasia. MEDISAN [online]. 2012, vol.16, n.12, pp.1815-1822. ISSN 1029-3019.

A descriptive and prospective study was carried out in 8 patients with achalasia treated in "Dr. Joaquín Castillo Duany" Teaching Clinical Surgical Hospital of Santiago de Cuba from January 2006 to August 2010 in order to demonstrate the effectiveness of Heller-Dor technique in the treatment of this condition by using minimally invasive surgery. Dysphagia and regurgitation as the most common symptoms, age group of 31-45 years and females prevailed in the case material. The surgical time ranged between 65 and 95 minutes; there was oral tolerance in the first 6 hours; the average hospital stay was 31.6 hours and only one patient had late complication, with satisfactory outcome in all cases. The efficacy of Heller's esophagocardiomyotomy with Dor fundoplication by laparoscopy was confirmed.

Keywords : achalasia; laparoscopy; Heller myotomy; Dor fundoplication; secondary health care.

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