| Full text | |
| Author(s): |
Gustavo Carvalho de OLIVEIRA
[1]
;
Rodrigo Lima Bastos da ROCHA
[2]
;
João de Souza COELHO-NETO
[3]
;
Valdir TERCIOTTI-JUNIOR
[4]
;
Luiz Roberto LOPES
[5]
;
Nelson Adami ANDREOLLO
[6]
Total Authors: 6
|
| Affiliation: | [1] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
[2] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
[3] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
[4] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
[5] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
[6] Universidade Estadual de Campinas. Faculdade de Ciências Médicas. Departamento de Cirurgia - Brasil
Total Affiliations: 6
|
| Document type: | Journal article |
| Source: | ABCD-ARQUIVOS BRASILEIROS DE CIRURGIA DIGESTIVA-BRAZILIAN ARCHIVES OF DIGESTIVE SURGERY; v. 28, n. 1, p. 28-31, 2015-00-00. |
| Abstract | |
BACKGROUND: The surgical treatment of advanced megaesophagus has no consensus, being esophagectomy the more commonly used method. Since it has high morbimortality - inconvenient for benign disease -, in recent years an alternative has been introduced: the esophageal mucosal resection. AIM: To compare early and late results of the two techniques evaluating the operative time, length of ICU stay; postoperative hospitalization; total hospitalization; intra- and postoperative complication rates; mortality; and long-term results. METHODS: Were evaluated retrospectively 40 charts, 23 esophagectomies and 17 mucosectomies. In assessing postoperative results, interviews were conducted by using a specific questionnaire. RESULTS: Comparing the means of esophagectomy and mucosal resection, respectively, the data were: 1) surgical time - 310.2 min and 279.7 min (p> 0.05); 2) length of stay in ICU - 5 days and 2.53 days (p <0.05); 3) total time of hospitalization - 24.25 days and 20.76 days (p> 0.05); 4) length of hospital stay after surgery - 19.05 days and 14.94 days (p> 0.05); 5) presence of intraoperative complications - 65% and 18% (p <0.05); 6) the presence of postoperative complications - 65% and 35% (p> 0.05). In the assessment of late postoperative score (range 0-10) esophagectomy (n = 5) obtained 8.8 points and 8.8 points also got mucosal resection (n = 5). CONCLUSIONS: Esophageal mucosal resection proved to be good alternative for surgical treatment of megaesophagus. It was advantageous in the immediate postoperative period by presenting a lower average time in operation, the total hospitalization, ICU staying and complications rate. In the late postoperative period, the result was excellent and good in both operations. (AU) | |