مرکز منطقه ای اطلاع رساني علوم و فناوري - Laparoscopic Heller myotomy and Toupet fundoplication in the surgical treatment of achalasia

Abstract :

Objective: The aim of this study is to evaluate the clinical results of patients undergoing laparoscopic Heller myotomy and the Toupet fundoplication procedure with the diagnosis of achalasia. Materials and Methods: Between March 2004 and March 2012, 11 patients who underwent laparoscopic Heller myotomy and Toupet fundoplication were retrospectively analyzed in a prospectively collected data base. Results: Eleven cases were operated during the study period and all were conducted laparoscopically. There were no early period complications or mortality. Seven patients were male and 4 were female. The mean age was 32 (27- 45) years. While five patients had a history of balloon dilation therapy, surgical procedure was the first choice in 6 of them. The mean operative time was 93 (54-150) minutes and the average discharge time was 2 (1-3) days. None of the patients complained of postoperative gastroesophageal reflux symptoms. The average follow-up period of 48 months, 10 (90.9%) patients were free from dyphagia. One (9.1%) patient still had tolerable dysphagia which started in the second postoperative year. Conclusion: In the surgical treatment of achalasia, laparoscopic Heller myotomy and Toupet fundoplication is an effective and safe method for providing a permanent improvement.