Outcomes of minimally invasive myotomy for the treatment of XXXX in the elderly.

@entity1 @entity1318 @entity1819
BACKGROUND: An increasing number of elderly @entity1 diagnosed with @entity1318 are being referred for minimally invasive myotomy. Little data are available about the operative outcomes in this population. The objective of this study was to review our experience with this procedure in an elderly population. METHODS: A retrospective review was performed of 51 consecutive @entity1 , 65 years of age or older, diagnosed with @entity1318 who underwent a minimally invasive myotomy at our institution. Prior therapies, perioperative outcomes, and postoperative interventions were also analyzed. RESULTS: Of the 51 @entity1 , 28 (55%) had undergone prior endoscopic therapy, and 2 @entity1 (7%) had a prior myotomy. Mean duration of symptoms was 10.9 years (range, 0.5 to 50). No perioperative mortality occurred, and the median hospital stay was 3 days. Two @entity1 (3.8%) had complications, including a @entity1819 and one atelectasia. Eleven @entity1 (21%) required additional therapy postoperatively. Symptom improvement was described in all @entity1 . CONCLUSION: Laparoscopic Heller myotomy can safely be performed in elderly @entity1 , providing significant symptom relief. No evidence suggests that surgery should not be considered a first-line treatment. Advanced age does not appear to adversely affect outcomes of laparoscopic Heller myotomy.
