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Risk Factors Of Mucosal Injury During Laparoscopic Heller Cardiomyotomy, Abdelhafez Seleem

Al-Azhar International Medical Journal

Background: Laparoscopic Heller cardiomyotomy has been widely adopted as a successful option for managing achalasia. However, intraoperative mucosal perforation is a common and dreadful complication of this technique. We conducted this study to detect these possible risk factors for mucosal injury and to elucidate its impact on operative and post-operative outcomes. Patients and methods: The data of consecutive 52 patients diagnosed with achalasia and subjected to laparoscopic Heller cardiomyotomy were retrospectively reviewed. They were allocated into two groups according to the occurrence of intraoperative mucosal injury; Group A (No-perforation group) and Group B (Perforation group). Results: Mucosal injury was detected …