Resultados del tratamiento quirúrgico de la patología esofágica benigna con cirugía mínimamente invasiva: Experiencia en 483 pacientes

Italo Braghetto M, Owen Korn B, Gonzalo Cardemil H, Héctor Valladares H, Gonzalo Masia L, Carlos Mandiola B
2013 Revista Chilena de Cirugía  
Minimally invasive surgery for benign esophageal diseases. Experience in 483 patients Background: Minimally invasive surgical techniques are increasingly used for the treatment of benign esophageal diseases. Aim: To report the results of minimally invasive surgical techniques among patients with benign esophageal diseases. Material and Methods: Four hundred eighty three patients aged 37 to 81 years (184 males), were studied. Of these, 278 had a Barret esophagus, 125 had a hiatal hernia, 75 had
more » ... tal hernia, 75 had achalasia and five had esophageal diverticula. All patients were studied using standard protocols, operated using minimally invasive techniques and followed, registering postoperative complications and recurrence of symptoms. Results: Among patients with esophageal reflux, 85% had successful results on the long term. Among patients with hiatal hernia and subjected to laparoscopic surgery, 12% had complications and 12% had recurrence of symptoms which increased to 17% if a mesh was not used. The recurrence rate among patients with achalasia is less than 5%. There was no recurrence among patients with esophageal diverticula. Conclusions: Minimally invasive surgery for esophageal diseases has good success rates, with a lower incidence of complications than open surgery. Resumen Introducción: En este artículo se presenta la experiencia de nuestro grupo de trabajo de los resultados obtenidos en el tratamiento quirúrgico con técnicas mínimamente invasivas en patología esofágica benigna. Material y Método: Se analizan los resultados en pacientes sometidos a cirugía antirreflujo por enfermedad por reflujo gastroesofágico, esófago de Barrett, tratamiento de las hernias hiatales, acalasia esofágica y divertículos esofágicos. Resultados: Los resultados obtenidos por nuestro grupo son comparables a los que señala Rev.
doi:10.4067/s0718-40262013000200005 fatcat:neg3jxko3ngebnbhtsbacusvdq