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2015, Number 4

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Revista Cubana de Cirugía 2015; 54 (4)

Laparoscopic Heller myotomy for the treatment of e sophageal achalasia in the elderly

Roque GR, Martínez AMÁ, Torres PR, Anido EV, Naranjo HD, Díaz DZ

Language: Spanish
References: 21
Page: 309-317
PDF size: 131.07 Kb.


ABSTRACT

Introduction: laparoscopic Heller myotomy treatment of choice in elderly patients with esophageal achalasia is still controversial for some authors.
Objective: determine the postoperative clinical course of elderly patients with achalasia esophageal (EA) surgery with laparoscopic Heller myotomy.
Methods: a descriptive, retrospective and longitudinal study, where the medical records of patients with diagnosis of EA to which underwent laparoscopic Heller myotomy in the National Center for Minimal Access Surgery (CNCMA) was conducted the period january 2010 to december 2014. Patients were classified into 2 age groups: group 1 (‹ 60 years) and group 2 (≥ 60 years). The time evolution of symptoms, previous endoscopic treatment and the degree of dilation of the esophagus were analyzed.
Results: the conversion and mortality was zero in both groups. The hospital stay was 1 day. Group 2 patients had a clinical evolution of excellent or good at 6 and 12 months depending on the postoperative clinical classification of Vantrappen and Hellemans, a patient classified in unfavorable and it belongs to the group of ‹ 60 years.
Conclusions: the postoperative clinical course of elderly patients operated achalasia esophageal reaffirm that laparoscopic Heller myotomy is an alternative treatment of choice in this age group.


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