Abstract
The objective of the study was to determine whether results of open and laparoscopic operations for esophageal achalasia are comparable. All patients (n = 53) were divided into two groups according to the used method of oesophagocardiomyotomia: first ‐ basic (laparoscopic) group (n = 29), in which a laparoscopic approach has been used, the second ‐ control (open) group (n = 24), in which open (laparotomy) oesophagocardiomyotomia was used. Blockade was completely (100%) eliminated in cardioesophageal transition using the improved method of oesophagocardiomyotomia year after operation in comparison with a standard method, which had the current indicator in 79.2% of the value of all clinical cases. We observed endoscopically full antireflux effect in 96.6% operated in the first group versus 75% in the comparison group. Endoscopically positive GER was detected in 1 (3.4%) patient of the main and in 6 (25%) patients of the control group ( ƒÔ2=4,9; „Q=0,025). An improved method of laparoscopic oesophagocardiomyotomia is characterized by a more pronounced antireflux effect than laparotomy (96.6% versus 75% respectively) and by 100% removal of the disturbed patency of cardioesophageal transition versus 79.2% of the control group.