BACKGROUND: Since the performance of the first laparoscopic cardiomyotomy for @entity1318 in 1991, the popularity of the minimally invasive approach for this troublesome disease has been growing. We present our experience of 226 @entity1 who underwent laparoscopic cardiomyotomy and discuss the relevant issues. METHODS: A retrospective analysis was carried out of 226 @entity1 who have undergone laparoscopic cardiomyotomy since 1993. The preoperative workup, surgical technique, and postoperative management are described. RESULTS: @entity1 included 146 males and 80 females; average age was 36.4 years (range, 6 to 85). Mean duration of symptoms was 1.4 years. Nearly half of the @entity1 (112) had undergone prior pneumatic dilatation. In 20 @entity1 , myotomy alone was done, 44 @entity1 had a Dor's fundoplication, and 162 had Toupet's fundoplication. The average operating time was 96 minutes. Mean postoperative hospital stay was 2.2 days. @entity1282 was eliminated in 88.9% of the @entity1 with an overall morbidity of 4.4% and nil mortality over a mean follow-up of 4.3 years. CONCLUSION: Laparoscopic cardiomyotomy with Toupet's fundoplication is a safe and effective treatment of @entity1318 . Dor's fundoplication is done selectively, especially when suspicion is present of @entity3137 .

Minimally invasive management of XXXX : results from a single center study.

@entity1318 :: ('MESH:D004931', 'Disease') :: ['achalasia cardia'] @entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity3137 :: ('MESH:D009059', 'Disease') :: ['mucosal injury'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['Dysphagia']
@entity1318 :: (MESH:D004931,Disease) :: ['achalasia cardia']
