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Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

Published on: September 11, 2021

[Laparoscopic surgery for benign esophageal diseases]

Italo Braghetto M¹, Owen Korn B, Gonzalo Cardemil H

¹Departamento de Cirugía, Hospital Clínico de la Universidad de Chile Dr. José Joaquín Aguirre, Facultad de Medicina, Universidad de Chile, Chile. ibraghet@redclinicauchile.cl

Revista Medica De Chile

|January 4, 2013

Abstract

Background:

Minimally invasive surgery has the advantage of a lower rate of complications and can be used for benign esophageal diseases.

Aim:

To report a single surgeon experience with laparoscopic surgery for benign esophageal diseases.

Material And Methods:

Prospective analysis of 421 patients (160 males) with benign esophageal disease, who were subjected to laparoscopic surgery by a single surgeon. Immediate mortality, surgical complications and long term results in terms of symptoms recurrence, were analyzed.

Results:

The underlying diagnoses of the operated patients were Barrett's esophagus or esophagitis in 257, hiatal hernia in 91, achalasia in 68 and esophageal diverticula in five. Surgery obtained successful results in 90% of patients with Barrett's esophagus. Among patients with hiatal hernia, there was a 12% rate of complications and a 30% recurrence, when a mesh was not used. Among patients with achalasia the recurrence rate was less than 5%.

Conclusions:

Laparoscopic surgery has a fair success rate in benign esophageal diseases, with a lower rate of complications.

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