scholarly journals Usefulness of the Laparoscopic Heller-Dor Operation for Esophageal Achalasia: Introducing the Procedure to Our Institution

2008 ◽  
Vol 75 (4) ◽  
pp. 207-211
Author(s):  
Tsutomu Nomura ◽  
Masao Miyashita ◽  
Hiroshi Makino ◽  
Keiichi Okawa ◽  
Katsuhiko Iwakiri ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Dor Operation

P68 DEFINITIVE RESULTS OF THE HELLER MYOTOMY ASSOCIATED WITH THE DOR FUNDOPLICATION PERFORMED WITH INTRAOPERATIVE MANOMETRY FOR THE PRIMARY SURGICAL TREATMENT OF ESOPHAGEAL ACHALASIA: ONE CENTER EXPERIENCE

2019 ◽  
Vol 32 (Supplement_2) ◽  
Author(s):  
Tassi Valentina ◽  
Lugaresi Marialuisa ◽  
Mattioli Benedetta ◽  
Daddi Niccolò ◽  
Pilotti Vladimiro ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Barium Swallow ◽  
Coagulation Disorder ◽  
Partial Fundoplication ◽  
Laparoscopy Group ◽  
Dor Operation ◽  
Laparotomy Group ◽  
High Pressure Zone ◽  
Intraoperative Manometry

Abstract Objective In 1978 the Heller-Dor operation was proposed to accomplish new concepts of surgical pathophysiology: to abolish the lower esophageal sphincter with the division of the U-and sling fibers of the lesser gastric curvature, to prevent GER with an effective but not too effective partial fundoplication which protects the myotomy surface. Proponents performed this operation under intraoperative manometric control. We report on results we achieved in the period 1978-2016. Methods The Heller-Dor was performed in 367 patients (laparotomy 1978-1993, 209, 96 men; median age, 45 years; IQR 31.8–59.4 years, laparoscopy 1994-2016,158, 78 men; median age, 48 years; IQR 35.5–63.7 years; age p=0.166; gender p=0.346). Intraoperative manometry was performed and interpreted according to standard criteria. Follow-up consisted of periodical interview, endoscopy, barium swallow, which reports were graded in semiquantitative scales of evaluation. Results Mortality occurred in 1/209 (heart failure), 1/158 (coagulation disorder). Median follow-up was 193 months (IQR 137.1–273.4 months) in the laparotomy group, 95 months (IQR 71.1–140 months) in the laparoscopy group. Myotomy achieved the complete abolition of the high pressure zone in 100% of the patients in both groups. In the laparotomy group poor results were assessed in 22 (10.5%), for esophagitis in 15 and recurrent dysphagia in 7 with sigmoid achalasia. In the laparoscopy group poor results occurred in 7 (4.3%), 5 for esophagitis and 2 for recurrent dysphagia in sigmoid achalasia. In the second period the fundoplication was always sutured to the diaphragm to avoid slipping, the number of sigmoid esophagus cases decreased significantly. In the laparotomy group, gastroesophageal reflux and esophagitis appeared after a median period of 74.8 months since myotomy, recurrent dysphagia was evident shortly after surgery. Conclusions In light of the timing of appearance of causes of poor results assed in the laparotomy group, we consider the 95.7% of satisfactory results achieved with the laparoscopic Heller-Dor after 95 months median follow up, the indicator of potential of cure of this operation.

scholarly journals Long-term results of the Heller–Dor operation with intraoperative manometry for the treatment of esophageal achalasia

2010 ◽  
Vol 140 (5) ◽  
pp. 962-969 ◽  
Author(s):  
Sandro Mattioli ◽  
Alberto Ruffato ◽  
Marialuisa Lugaresi ◽  
Vladimiro Pilotti ◽  
Beatrice Aramini ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Long Term Results ◽  
Dor Operation ◽  
Intraoperative Manometry

Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients

2009 ◽  
Vol 22 (2) ◽  
pp. 169-176 ◽  
Author(s):  
Kazuto Tsuboi ◽  
Nobuo Omura ◽  
Fumiaki Yano ◽  
Hideyuki Kashiwagi ◽  
Katsuhiko Yanaga
Keyword(s):  
Esophageal Achalasia ◽  
Dor Operation

One-year follow-up after laparoscopic Heller-Dor operation for esophageal achalasia

1997 ◽  
Vol 11 (1) ◽  
pp. 3-7 ◽  
Author(s):  
M. Anselmino ◽  
G. Zaninotto ◽  
M. Costantini ◽  
M. Rossi ◽  
C. Boccu' ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Dor Operation ◽  
One Year

Esophageal achalasia: Laparoscopic versus conventional open heller-dor operation

1995 ◽  
Vol 170 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Ermanno Ancona ◽  
Marco Anselmino ◽  
Giovanni Zaninotto ◽  
Mario Costantini ◽  
Mauro Rossi ◽  
...  
Keyword(s):  
Esophageal Achalasia ◽  
Dor Operation

scholarly journals EXPERIENCE IN TREATMENT OF PATIENTS WITH ESOPHAGEAL ACHALASIA

2019 ◽  
Vol 72 (4) ◽  
pp. 682-684
Author(s):  
Volodymyr O. Shaprynskyi ◽  
Oleg Y. Kanikovskyi ◽  
Yevhen V. Shaprynskyi ◽  
Yaroslav V. Karyi
Keyword(s):  
Conservative Therapy ◽  
Clinical Effect ◽  
Disease Incidence ◽  
Stage Iv ◽  
Esophageal Achalasia ◽  
Early Postoperative Period ◽  
Results Of Treatment ◽  
Dor Operation ◽  
Esophageal Sphincter ◽  
Choice Of Therapy

Introduction: Esophageal achalasia is a neuromuscular disease, which is characterized by persistent impaired reflex opening of esophageal sphincter. Disease incidence is 0.6-2.0 per 100 000 population with no tendency to decrease. The aim of the study was to improve the results of treatment in patients with achalasia of cardia by differentiated approach in the choice of therapy method. Materials and methods:148 patients with esophageal achalasia aged 18 - 67 were studied between 2003 and 2018. The following degrees of the disease were determined (by Petrovskyi’s classification): first – in 8, second – in 59, third – in 70, fourth – in 11 patients. Drug therapy was administered in achalasia of first degree, and cardiodilatation courses - in second and third degree of the disease. Indications for surgical treatment were: impossibility to perform cardiodilatation, S-shaped esophageal deformation (stage IV), complications associated with cardiodilatation, achalasia combined with other surgical pathology, recurrence of disease. Review: Cardiodilatation therapy resulted in sustained clinical effect in stages I and II of the disease. In case of unsatisfactory results of cardiodilatation patients underwent elective operations. 18 patients underwent Heller-Dor plastic surgery, 4 – Heller-Petrovskiy operation, 1 – Besley plastic repair, 2 – Nissen fundoplication. In early postoperative period no failure or perforation of the esophagus occurred. The following complications developed: seroma – in 3 patients, postoperative wound infection – in 1 case. In one patient (4%) the recurrence of disease was due to scar deformation of esophagogastric junction after Heller-Petrovskiy operation on the cardia. Conclusions: Cardiodilatation is an effective method of conservative therapy in stages I and II of the disease, while in stages III and IV it is warranted as preoperative preparation measure. We think Heller-Dor operation to be the best method of plastic repair in esophageal achalasia.

The laparoscopic Heller-Dor operation remains an effective treatment for esophageal achalasia at a minimum 6-year follow-up

2005 ◽  
Vol 19 (3) ◽  
pp. 345-351 ◽  
Author(s):  
M. Costantini ◽  
G. Zaninotto ◽  
E. Guirroli ◽  
C. Rizzetto ◽  
G. Portale ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Esophageal Achalasia ◽  
Dor Operation
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