Thoracoscopic oesophagectomy for end-stage achalasia

Journal of Minimal Access Surgery
Vaibhav Kumar VarshneyAshok Puranik

Abstract

Achalasia cardia is an oesophageal motility disorder characterised by aperistalsis and failure of relaxation of the lower oesophageal sphincter. The management is predominantly palliative with focus on addressing the sphincter that involves either pneumatic dilatation or Heller myotomy which relieves dysphagia in the majority of the cases. End-stage achalasia (ESA) is characterised by failed myotomy, massively dilated and tortuous oesophagus with nutritional deterioration due to progressive dysphagia and vomiting. In these subgroups of patients, oesophagectomy may be the last resort. While oesophagectomy has been described for ESA before, thoracoscopic oesophagectomy has not been reported previously. Hereby, we report our experience of performing minimally invasive oesophagectomy (thoracoscopic) with the gastric pull-up.

References

Oct 1, 1995·The Annals of Thoracic Surgery·D L MillerP C Pairolero
May 27, 1999·The Journal of Thoracic and Cardiovascular Surgery·M K BanburyE H Blackstone
Sep 22, 2001·The Annals of Thoracic Surgery·E J DevaneyB Marshall
Nov 7, 2003·The Annals of Thoracic Surgery·Han-Shui HsuMin-Hsiung Huang
Dec 21, 2010·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·A DuranceauP Ferraro
Jul 24, 2013·The American Journal of Gastroenterology·Michael F VaeziMarcelo F Vela

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Methods Mentioned

BETA
pull-up
dissection

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