Laparoscopic Heller myotomy and Toupet fundoplication in the surgical treatment of achalasia

Volume: 51 Number: 3 September 1, 2012
  • Oydemir T
  • Pesluk O
  • Yerdel M A
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Laparoscopic Heller myotomy and Toupet fundoplication in the surgical treatment of achalasia

Abstract

Objective: The aim of this study is to evaluate the clinical results of patients undergoing laparoscopic Heller myotomy and the Toupet fundoplication procedure with the diagnosis of achalasia. Materials and Methods: Between March 2004 and March 2012, 11 patients who underwent laparoscopic Heller myotomy and Toupet fundoplication were retrospectively analyzed in a prospectively collected data base. Results: Eleven cases were operated during the study period and all were conducted laparoscopically. There were no early period complications or mortality. Seven patients were male and 4 were female. The mean age was 32 (27-45) years. While five patients had a history of balloon dilation therapy, surgical procedure was the first choice in 6 of them. The mean operative time was 93 (54-150) minutes and the average discharge time was 2 (1-3) days. None of the patients complained of postoperative gastroesophageal reflux symptoms. The average follow-up period of 48 months, 10 (90.9%) patients were free from dyphagia. One (9.1%) patient still had tolerable dysphagia which started in the second postoperative year. Conclusion: In the surgical treatment of achalasia, laparoscopic Heller myotomy and Toupet fundoplication is an effective and safe method for providing a permanent improvement.

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Primary Language

Turkish

Subjects

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Journal Section

-

Authors

Oydemir T

Pesluk O

Yerdel M A

Publication Date

September 1, 2012

Submission Date

September 1, 2012

Acceptance Date

-

Published in Issue

Year 2012 Volume: 51 Number: 3

IZ

https://izlik.org/JA53CX27MX

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RIS / Bibtex
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1.Oydemir T, Pesluk O, Yerdel M A. Akalazya hastalığının cerrahi tedavisinde laparoskopik Heller miyotomi ve Toupet fundoplikasyonu. EJM [Internet]. 2012 Sep. 1;51(3):171-4. Available from: https://izlik.org/JA53CX27MX

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