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目的探讨腹腔镜微创手术治疗贲门失弛缓症的应用价值。方法 2007年11月至2009年12月期间,中国医科大学附属盛京医院微创外科对5例贲门失弛缓症患者实施腹腔镜改良Heller手术并胃底折叠术。结果手术过程顺利,手术时间120~165 min,平均139 min;术中失血50~200 ml,平均88 ml;术后第1天进食,吞咽困难症状消失,无手术相关并发症。5例患者均痊愈出院。术后随访8~31个月,平均19个月,无症状复发或出现返流症状。结论腹腔镜手术治疗贲门失弛缓症安全、效果良好,值得进一步推广。
Objective To investigate the value of laparoscopic minimally invasive surgery in the treatment of achalasia. Methods From November 2007 to December 2009, 5 cases of achalasia patients underwent laparoscopic modified Heller operation and fundoplication in minimally invasive surgery of Shengjing Hospital, China Medical University. Results The procedure was successful. The operation time ranged from 120 to 165 minutes (average 139 minutes). The intraoperative blood loss was 50-200 ml, with an average of 88 ml. On the first day after operation, the symptom of dysphagia disappeared without any operative complications. All 5 patients were cured and discharged. The patients were followed up for 8 to 31 months, with an average of 19 months. The symptom of recurrent or asymptomatic recurrence was found. Conclusions Laparoscopic surgery for the treatment of achalasia is safe and effective, which is worth further promotion.