Key result
Thoracoscopic cardiomyotomy was completed successfully in all 12 patients without thoracotomy, yielding good or excellent functional results in 91.7% of patients.
Why the study?
Does thoracoscopic cardiomyotomy improve functional outcomes in patients with achalasia?
Observational (n=12)
Does thoracoscopic cardiomyotomy improve functional outcomes in patients with achalasia?
Thoracoscopic cardiomyotomy is a feasible and effective treatment for achalasia with minimal morbidity and short hospital stay.
Supports feasibility in small achalasia series; hypothesis-generating and should not yet change practice.
Twelve patients with achalasia treated by cardiomyotomy via a thoracoscopic approach have been studied prospectively. Seven patient had previously undergone balloon dilatation with an unsatisfactory result. The procedure was completed successfully in all patients without recourse to thoracotomy. Morbidity was minimal and postoperative stay averaged 4 days. The functional result was good/excellent in 11 patients and fair in one.
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Cade et al. (1996) conducted an observational in Achalasia (n=12). Thoracoscopic cardiomyotomy was evaluated on Good or excellent functional result. Thoracoscopic cardiomyotomy was completed successfully in all 12 patients without thoracotomy, yielding good or excellent functional results in 91.7% of patients.
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