Utilizza questo identificativo per citare o creare un link a questo documento: http://elea.unisa.it/xmlui/handle/10556/4628
Titolo: Surgical vls therapy of oesophageal achalasia in pediatric age: four case reports
Autore: Garzi, Alfredo
Prestipino, Marco
Rubino, Maria Serena
Calabrò, Eleonora
Parole chiave: Achalasia;Pediatric age;Laparoscopic approach
Citazione: Garzi A, Prestipino M, Rubino MS, Calabrò E. Surgical vls therapy of oesophageal achalasia in pediatric age: four case reports. Translational Medicine @ UniSa 2020, 22(9): 38-43.
Abstract: The Authors present a retrospective review of their record of cases, characterized by 4 cases of achalasia in which it was performed a Heller myotomy with front fundoplication (Thall) in laparoscopic approach in the period from 2012 to 2019. In paediatric achalasia, the laparoscopic Heller myotomy seems to be the best treatment because of its multiple advantages offered by the minimally invasive technique. First of all, thanks to the video-technique, which allows a complete and extended myotomy, the accuracy of this operation is maximized; moreover, the post-operative pain is widely reduced, thanks to the minimal dissection and traction of the tissues; finally, but not negligible, this approach ensures a better aesthetic result than the classic open technique. With regard to the front fundoplication, the Authors suggest that it is mandatory because, even if it extends the operating time, it ensures a natural protection to the myotomy herniated mucosa and avoids gastro-oesophageal reflux, which often occurs after the surgical correction, thus obliging to perform a reoperation.
URI: http://www.translationalmedicine.unisa.it/index
http://elea.unisa.it:8080/xmlui/handle/10556/4628
http://dx.doi.org/10.14273/unisa-2817
ISSN: 2239-9747
È visualizzato nelle collezioni:Translational Medicine @ UniSa. Volume 22 (may.-aug. 2020)

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