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Needlescopic versus conventional laparoscopic Heller–Dor procedure for achalasia: a propensity score-matched analysis

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Abstract

Purpose

To compare the treatment results of needlescopic surgery with those of the conventional method for achalasia, using propensity score-matching.

Methods

Propensity score-matching was performed based on five factors: age, gender, body mass index, extended form, and maximum expansion diameter, to extract 28 cases each for a needlescopic group and a conventional group.

Results

There were no significant differences between the needlescopic group and the conventional group, in operative time (165 min vs. 170 min, p = 0.682), estimated blood loss (both ≒ 0 ml, p = 0.426), or post-operative hospital stay (4 vs. 4 days, p = 0.248). Although the follow-up period was significantly longer in the conventional group (6 vs. 105 months, respectively; p < 0.001), there was no difference in the post-operative symptom scores for difficulty in swallowing and chest pain or the degree of satisfaction (p = 0.563, p = 0.142, p = 0.342, respectively). Furthermore, there was no difference in the post-operative clearance rate, with both groups found to be favorable (p = 0.758, p = 0.790, p = 1.000, p = 1.000, respectively).

Conclusions

The short-term results of needlescopic surgery for achalasia were good and equivalent to those of the conventional method.

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Authors and Affiliations

  1. Department of Surgery, The Jikei University School of Medicine, 3-25-8 Nishishinbashi, Minato-ku, Tokyo, 105-8461, Japan

    Masato Hoshino, Nobuo Omura, Fumiaki Yano, Kazuto Tsuboi, Se Ryung Yamamoto, Shunsuke Akimoto, Takahiro Masuda, Hideyuki Kashiwagi & Katsuhiko Yanaga

Authors
  1. Masato Hoshino
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  2. Nobuo Omura
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  3. Fumiaki Yano
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  4. Kazuto Tsuboi
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  5. Se Ryung Yamamoto
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  6. Shunsuke Akimoto
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  7. Takahiro Masuda
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  8. Hideyuki Kashiwagi
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  9. Katsuhiko Yanaga
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Correspondence to Masato Hoshino.

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We have no conflicts of interest or financial ties to disclose.

Ethical statement

All procedures were carried out in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and in compliance with the Helsinki Declaration of 1964 and its later versions. Informed consent or substitute for it was obtained from all patients included in the study.

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Hoshino, M., Omura, N., Yano, F. et al. Needlescopic versus conventional laparoscopic Heller–Dor procedure for achalasia: a propensity score-matched analysis. Surg Today 50, 721–725 (2020). https://doi.org/10.1007/s00595-019-01945-z

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  • DOI: https://doi.org/10.1007/s00595-019-01945-z

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