Professor WANG Qiu-sheng and his colleagues are to be complemented for the excellent results and clinical outcome following laparoscopic cardiomyotomy in their initial experience of 25 patients.I agree with the view e...Professor WANG Qiu-sheng and his colleagues are to be complemented for the excellent results and clinical outcome following laparoscopic cardiomyotomy in their initial experience of 25 patients.I agree with the view expressed in this paper that laparoscopic cardiomyotomy is now the gold standard and should replace all other techniques in all patients who are fit for general anaesthesia.I would add that the reported experience in the last 10 years has collectively shown that the laparoscopic technique is superior tothe thoracoscopic approach which has largely been abandoned in most centers and is now reserved for long esophageal myotomy for patients with symptomatic diffuse esophageal spasm.展开更多
文摘Professor WANG Qiu-sheng and his colleagues are to be complemented for the excellent results and clinical outcome following laparoscopic cardiomyotomy in their initial experience of 25 patients.I agree with the view expressed in this paper that laparoscopic cardiomyotomy is now the gold standard and should replace all other techniques in all patients who are fit for general anaesthesia.I would add that the reported experience in the last 10 years has collectively shown that the laparoscopic technique is superior tothe thoracoscopic approach which has largely been abandoned in most centers and is now reserved for long esophageal myotomy for patients with symptomatic diffuse esophageal spasm.