Video endoscopic surgery for advanced forms of cardia achalasia

Allakhverdyan Alexander, Anipchenko Alexey, Anipchenko Natalya

The analysis of long-term results of treatment of 320 patients with achalasia of the cardia (AK) (in 55.5% (176/320) - advanced forms) was carried out. Esophagocardiomyotomy was performed in 223 (69.7%) patients. In 98.2% (219/223) of cases – laparoscopically. Resections with simultaneous esophagoplasty were performed in 55 (17.1%) patients. In 43.7 % (24/55) cases – by videoendoscopic (laparotoracoscopic and laparotoracoscopic) accesses. Videoendoscopic operations allow to expand the indications for the treatment of achalasia of the cardia even with a complicated course and severe concomitant pathology, i.e. achieve complete control of the disease.

Keywords:Achalasia, videoendoscopy, esophagocardiomyotomy, esophagoplasty.