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Tratamiento quirúrgico de la acalasia esofágica. Experiencia en 328 pacientes

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2012-02
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Csendes Juhasz, Attila
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Tratamiento quirúrgico de la acalasia esofágica. Experiencia en 328 pacientes
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  • Csendes Juhasz, Attila;
  • Braghetto Miranda, Italo;
  • Korn Bruzzone, Owen;
  • Burdiles Pinto, Patricio;
  • Salas F., Juan E.;
Abstract
Background: Patients with achalasia may require surgical treatment. Aim: To assess postoperative evolution, complications and mortality after surgical treatment of achalasia. Material and Methods: Analysis of 328 patients aged 13 to 80 years (51% females) with achalasia, operated in a period of 40 years. Open surgery was used in 165 patients and a laparoscopic modality (starting in 1994) in 163. Results: Patients subjected to open or laparoscopic surgery had similar demographic and manometric features. Mucosal injury during myotomy occurred in 20 (12%) and 10 (6%) of patients subjected to open or laparoscopic surgery, respectively (p < 0.05). Four patients operated using a laparoscopic approach had to be converted to open surgery. Two patients operated using an open approach had a postoperative leak. One patient had an abscess and one a hemoperitoneum. Conclusions: The surgical approach of choice for achalasia is laparoscopic, with a low incidence of complications.
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URI: https://repositorio.uchile.cl/handle/2250/124247
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Rev. Chilena de Cirugía. Vol 64 - Nº 1, Febrero 2012; pág. 46-51
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