Peter Nau1, David Rattner. 1. Department of Surgery, Massachusetts General Hospital, WACC-460 15 Parkman St, Boston, MA, 02114-3117, USA, peter-nau@uiowa.edu.
Abstract
INTRODUCTION: The recent introductions of novel methods for the treatment of achalasia as well as ongoing controversies about the merits of surgical and endoscopic treatment options have created controversy in identifying the optimal treatment for this condition. This lack of clarity prompted this review of 206 consecutive patients treated with a laparoscopic Heller (LH) myotomy over a 16-year period. METHODS: A retrospective review of a prospectively collected database was performed of 206 consecutive LH performed by a single surgeon. RESULTS: In this cohort, 58 % of patients had undergone a prior therapeutic intervention. Over 90 % of patients had relief of dysphagia post-operatively. There was one intraoperative esophageal perforation. There were no mortalities. Only 4/206 patients sustained complications that required either post-op therapeutic intervention or delayed hospital discharge. CONCLUSION: This paper outlines an operative technique that has yielded outstanding results and may be used as a benchmark against which other therapies can be judged.
INTRODUCTION: The recent introductions of novel methods for the treatment of achalasia as well as ongoing controversies about the merits of surgical and endoscopic treatment options have created controversy in identifying the optimal treatment for this condition. This lack of clarity prompted this review of 206 consecutive patients treated with a laparoscopic Heller (LH) myotomy over a 16-year period. METHODS: A retrospective review of a prospectively collected database was performed of 206 consecutive LH performed by a single surgeon. RESULTS: In this cohort, 58 % of patients had undergone a prior therapeutic intervention. Over 90 % of patients had relief of dysphagia post-operatively. There was one intraoperative esophageal perforation. There were no mortalities. Only 4/206 patients sustained complications that required either post-op therapeutic intervention or delayed hospital discharge. CONCLUSION: This paper outlines an operative technique that has yielded outstanding results and may be used as a benchmark against which other therapies can be judged.
Authors: H Inoue; H Minami; Y Kobayashi; Y Sato; M Kaga; M Suzuki; H Satodate; N Odaka; H Itoh; S Kudo Journal: Endoscopy Date: 2010-03-30 Impact factor: 10.093
Authors: Christian Alexander Gutschow; Ulrich Töx; Jessica Leers; Hartmut Schäfer; Klaus Ludwig Prenzel; Arnulf H Hölscher Journal: Langenbecks Arch Surg Date: 2010-09-16 Impact factor: 3.445
Authors: Guilherme M Campos; Eric Vittinghoff; Charlotte Rabl; Mark Takata; Michael Gadenstätter; Feng Lin; Ruxandra Ciovica Journal: Ann Surg Date: 2009-01 Impact factor: 12.969
Authors: Lena Shally; Kashif Saeed; Derek Berglund; Mark Dudash; Katie Frank; Vladan N Obradovic; Anthony T Petrick; David L Diehl; Jon D Gabrielsen; David M Parker Journal: Surg Endosc Date: 2022-10-11 Impact factor: 3.453
Authors: D N Naumann; S Zaman; M Daskalakis; R Nijjar; M Richardson; P Super; R Singhal Journal: Ann R Coll Surg Engl Date: 2016-02 Impact factor: 1.891