Отдаленные результаты эндохирургического лечения ахалазии кардии

М. В. Бурмистров, Е. И. Сигал, Т Л Шарапов, А. И. Иванов, М. Р. Бакиров, M. V. Burmistrov, E. I. Sigal, T. L. Sharapov, A. I. Ivanov, M. R. Bakirov
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引用次数: 8

Abstract

The analysis of results of endosurgical treatment of 141 patients with achalasia cardia is carried out. All patients executed a laparoscopic esophagocardiomiotomy according by Geller Dor. For intraoperative control of integrity of a mucous membrane of esophagus the transillumination probe was used. Positive results of low-invasive treatment are reached at 82,3% of patients. Among complications intraoperative perforation of mucous membrane of esophagus prevailed. Postoperative recurrence of a dysphagy is diagnosed for 12% of patients. Treatment of this category of patients demanded strictly individualized tactics.
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对141例贲门失弛缓症的手术治疗结果进行分析。所有患者均行腹腔镜食管贲门切开术。术中应用透照探头控制食管粘膜完整性。低侵入性治疗的阳性结果达到82.3%。术中并发症以食管粘膜穿孔为主。术后有12%的患者被诊断为吞咽困难复发。这类病人的治疗需要严格的个体化策略。
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