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Updated: Jul 20, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
Six years of experience in laparoscopic surgery of esophageal achalasia
A F Fernández1, M A Martínez, J Ruiz
1Centro de Cirugía Endoscópica, Hospital Universitario General Calixto García, Ave de la Universidad y calle J. La Habana, Cuba CP: 10 400. arnulfo@cce.sid.cu
Background:
We show the experience of 6 years in laparoscopic surgical therapy of esophageal achalasia, performing of the Heller-Dor or Heller-Toupet operation, with particular regard to the technical aspect.
Methods:
One hundred and ten laparoscopic interventions were done between November 1995 and December 2001. We studied operative time in hiatus approach, esophagocardiomyotomy, transoperative endoscopy, and anti-reflux procedure. We also analyzed the relation between complications and clinical evolution of disease with clinical stage.
Results:
The mean surgical time of the intervention is 138 min, and it is significantly increased by transoperative endoscopic control; conversion to open surgery was not necessary. Clinical results are classified as excellent in 103 patients. Morbidity was 6%.
Conclusion:
This surgical procedure is a first line in the treatment of esophageal achalasia. It is necessary to have special care in early diagnostic cases to avoid electrosurgical injury.
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