Laparoscopic cardiomyotomy for Achalasia Cardia: an early experience
Chowbey, P.K.; Sharma, A.; Khullar, R.; Soni, V. and Baijal, M. (2002) Laparoscopic cardiomyotomy for Achalasia Cardia: an early experience. In: Indian Association Of Gastrointestinal Endo-Surgeons, 2002.
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Seven patients with Achalasia Cardia underwent laparoscopic Oesophagocardiomyotomy at our centre between October 1998 and October 2001. Of these, one patient was subjected to pneumatic dilatation once and three patients twice, with unsatisfactory results. Three patients were offered surgery without pneumatic tlilatation. The procedure was completed entirely laparoscopically in all seven patients. The approach was transabdominal and the average length of the myotomy incision was 6 cms, including 1 cm of proximal stomach musculature. A partial anterior fundoplication was performed along with cardiomyotomy in six patients. The average post operative stay was 2-6 days. All patients reported a significant amelioration of symptoms, patient response varying from good in the first patient, to excellent in the last two patients
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