[Laparoscopic treatment of XXXX : analysis of results and reflections on the technique].

@entity1 @entity1318 @entity260 @entity354
INTRODUCTION: Heller myotomy using the laparoscopic approach is the best treatment that we can offer to @entity1 with @entity1318 . On not acting on the cause of the disease, we can only alleviate the persistence of the symptoms, but not make them disappear. OBJECTIVE: To analyse the results of our group in the treatment of @entity1318 by laparoscopy. MATERIAL AND METHODS: The pre- and post-operative results are analysed of a series of 20 @entity1 intervened prospectively by laparoscopy of @entity1318 during a period from May 2003 to April 2010. For this we used a modification of the grading scale of pre- and post-operative symptoms described by Velanovich for @entity354 (a scale from 0-5). Data on the complications and the hospital stay were also collected. RESULTS: A wide Heller myotomy was performed using a Dor type antireflux mechanism. There were no oesophageal perforations or complications during the surgery. Two (10%) @entity1 had @entity260 . The mean hospital stay was 3.11    2.13 days. After a mean follow up of 55.8    14.1 months, the symptoms studied had significantly decreased after the surgery. Only 3 (15%) @entity1 had clinical symptoms of @entity354 after surgery. Nineteen @entity1 (95%) said they were satisfied with the operation. CONCLUSIONS: The laparoscopic treatment of @entity1318 is a safe technique, reproducible and effective technique, which achieves very satisfactory control of the @entity1318 symptoms with a minimum of morbidity.
