Results of the surgical treatment of non-advanced megaesophagus using Heller-Pinotti's surgery: Laparotomy vs. Laparoscopy

dc.creatorLopes, LR
dc.creatorBraga, ND
dc.creatorde Oliveira, GC
dc.creatorNeto, JDC
dc.creatorCamargo, MA
dc.creatorAndreollo, NA
dc.date2011
dc.date2014-07-30T18:27:08Z
dc.date2015-11-26T16:53:11Z
dc.date2014-07-30T18:27:08Z
dc.date2015-11-26T16:53:11Z
dc.date.accessioned2018-03-28T23:40:15Z
dc.date.available2018-03-28T23:40:15Z
dc.identifierClinics. Hospital Clinicas, Univ Sao Paulo, v. 66, n. 1, n. 41, n. 46, 2011.
dc.identifier1807-5932
dc.identifierWOS:000288712700008
dc.identifier10.1590/S1807-59322011000100008
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/71077
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/71077
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1276504
dc.descriptionINTRODUCTION: Dysphagia is the important symptom in achalasia, and surgery is the most common treatment. The Heller-Pinotti technique is the method preferred by Brazilian surgeons. For many years, this technique was performed by laparotomy, and now the laparoscopic method has been introduced. The objective was to evaluate the immediate and long-term results of patients submitted to surgery by either laparotomy or laparoscopy. MATERIALS AND METHODS: A total of 67 patients submitted to surgery between 1994 and 2001 with at least 5 years of follow-up were evaluated retrospectively and divided into two groups: laparotomy (41 patients) and laparoscopy (26 patients). Chagas was the etiology in 76.12% of cases. Dysphagia was evaluated according to the classification defined by Saeed et al. RESULTS: There were no cases of conversion to open surgery. The mean duration of hospitalization was 3.32 days for laparotomy and 2.54 days for laparoscopy (p < 0.05). An improvement in dysphagia occurred with both groups reporting good or excellent results (laparotomy: 73.17% and laparoscopy: 73.08%). Mean duration of follow-up was 8 years. CONCLUSIONS: There was no difference between the two groups with respect to relief from dysphagia, thereby confirming the safety and effectiveness of the Heller-Pinotti technique, which can be performed by laparotomy or laparoscopy, depending on the surgeon's experience.
dc.description66
dc.description1
dc.description41
dc.description46
dc.languageen
dc.publisherHospital Clinicas, Univ Sao Paulo
dc.publisherSao Paulo
dc.publisherBrasil
dc.relationClinics
dc.relationClinics
dc.rightsaberto
dc.sourceWeb of Science
dc.subjectAchalasia
dc.subjectLaparoscopy
dc.subjectLaparotomy
dc.subjectCardiomyotomy
dc.subjectDysphagia
dc.subjectQuality-of-life
dc.subjectEsophageal Achalasia
dc.subjectAntireflux Procedure
dc.subjectChagas-disease
dc.subjectFollow-up
dc.subjectMyotomy
dc.subjectFundoplication
dc.subjectCardiomyotomy
dc.subjectEsophagomyotomy
dc.titleResults of the surgical treatment of non-advanced megaesophagus using Heller-Pinotti's surgery: Laparotomy vs. Laparoscopy
dc.typeArtículos de revistas


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