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RMU

Uruguayan Medical Journal

ISSN: 1688-0390


Vol.29 - Nº 1 - Mar. 2013

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Laparoscopic treatment of achalasia in a low prevalence healthcare setting

RODRÍGUEZ TEMESIO G; GONZÁLEZ GONZÁLEZ D; RUSO L
Rev Med Urug 2013; 29: 26-32
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract

Abstract

Introduction: laparoscopic treatment of esophageal achalasia provides excellent functional results in the short and long term. In Uruguay the number of patients operated annually is low given demographic reasons and the low prevalence of the condition.

Objective: to analyse the results of the surgical treatment of achalasia by means of a video-assisted laparoscopic approach.

Method: retrospective, descriptive, observational study of a series of cases consisting of all patients operated at the Surgical Clinic 3 of the Maciel Hospital within a 108 month period (from 2002 through 2010), during which 17 patients underwent surgery (14 women, 3 men, average age: 34 years old), after an average of 24 months with symptoms, meeting the clinical, endoscopic, radiological and manometric criteria to diagnose achalasia and who were treated with esophagectomy associated to an antireflux Toupet procedure.

Results: surgical time was 120 minutes. There was no need to turn into laparotomy. One intraoperative mucous membrane perforation took place. Mortality was null. Functional results were excellent. Average follow-up: two years.

Conclusions: laparoscopic treatment of achalasia is a safe, effective and comfortable alternative that may be performed in our country with functional results that match the low morbility and no mortality international literature.