Artículos de revistas
Esophageal Mucosal Resection Versus Esophagectomy: A Comparative Study Of Surgical Results In Patients With Advanced Megaesophagus.
Registro en:
Arquivos Brasileiros De Cirurgia Digestiva : Abcd = Brazilian Archives Of Digestive Surgery. v. 28, n. 1, p. 28-31, 2015.
2317-6326
10.1590/S0102-67202015000100008
25861065
Autor
de Oliveira, Gustavo Carvalho
da Rocha, Rodrigo Lima Bastos
Coelho-Neto, João de Souza
Terciotti-Junior, Valdir
Lopes, Luiz Roberto
Andreollo, Nelson Adami
Institución
Resumen
The surgical treatment of advanced megaesophagus has no consensus, being esophagectomy the more commonly used method. Since it has high morbimortality--inconvenient for benign disease -, in recent years an alternative has been introduced: the esophageal mucosal resection. To compare early and late results of the two techniques evaluating the operative time, length of ICU stay; postoperative hospitalization; total hospitalization; intra- and postoperative complication rates; mortality; and long-term results. Were evaluated retrospectively 40 charts, 23 esophagectomies and 17 mucosectomies. In assessing postoperative results, interviews were conducted by using a specific questionnaire. Comparing the means of esophagectomy and mucosal resection, respectively, the data were: 1) surgical time--310.2 min and 279.7 min (p > 0.05); 2) length of stay in ICU--5 days and 2.53 days (p <0.05); 3) total time of hospitalization--24.25 days and 20.76 days (p> 0.05); 4) length of hospital stay after surgery--19.05 days and 14.94 days (p> 0.05); 5) presence of intraoperative complications--65% and 18% (p <0.05); 6) the presence of postoperative complications - 65% and 35% (p> 0.05). In the assessment of late postoperative score (range 0-10) esophagectomy (n = 5) obtained 8.8 points and 8.8 points also got mucosal resection (n = 5). Esophageal mucosal resection proved to be good alternative for surgical treatment of megaesophagus. It was advantageous in the immediate postoperative period by presenting a lower average time in operation, the total hospitalization, ICU staying and complications rate. In the late postoperative period, the result was excellent and good in both operations. 28 28-31