{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,28]],"date-time":"2026-02-28T10:55:16Z","timestamp":1772276116785,"version":"3.50.1"},"reference-count":28,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  Background: Open and laparoscopic trans-hiatal esophagectomy has been successfully performed in the treatment of megaesophagus. However, there are no randomized studies to differentiate them in their results.  Aim: To compare the results of minimally invasive laparoscopic esophagectomy (EMIL) vs. open trans-hiatal esophagectomy (ETHA) in advanced megaesophagus.  Method: A total of 30 patients were randomized, 15 of them in each group - EMIL and ETHA. The studied variables were dysphagia score before and after the operation at 24-months follow-up; pain score in the immediate postoperative period and at hospital discharge; complications of the procedure, comparing each group. Were also studied: surgical time in minutes, transfusion of blood products, length of hospital stay, mortality and follow-up time.  Results: ETHA group comprised eight men and seven women; in the EMIL group, four women and 11 men. The median age in the ETHA group was 47.2 (29-68) years, and in the EMIL group of 44.13 (20-67) years. Mean follow-up time was 33 months, with one death in each group, both by fatal aspiration. There was no statistically significant difference between the EMIL vs. ETHA scores for dysphagia, pain and in-hospital complications. The same was true for surgical time, transfusion of blood products and hospital stay.  Conclusion: There was no difference between EMIL and ETHA in all the studied variables, thus allowing them to be considered equivalent.<\/jats:p>","DOI":"10.1590\/0102-672020180001e1382","type":"journal-article","created":{"date-parts":[[2018,8,15]],"date-time":"2018-08-15T19:48:52Z","timestamp":1534362532000},"source":"Crossref","is-referenced-by-count":13,"title":["MINIMALLY INVASIVE LAPAROSCOPIC ESOPHAGECTOMY VS. TRANSHIATAL OPEN ESOPHAGECTOMY IN ACHALASIA: A RANDOMIZED STUDY"],"prefix":"10.1590","volume":"31","author":[{"given":"Alberto Jorge Albuquerque","family":"FONTAN","sequence":"first","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o","family":"BATISTA-NETO","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Carolina Pastl","family":"PONTES","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcos da Costa","family":"NEPOMUCENO","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadeu Gusm\u00e3o","family":"MURITIBA","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R\u00f4mulo da Silva","family":"FURTADO","sequence":"additional","affiliation":[{"name":"Federal University of Alagoas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2018,8,16]]},"reference":[{"issue":"6","key":"ref1","doi-asserted-by":"crossref","first-page":"2238","DOI":"10.1007\/s00464-012-2751-0","article-title":"Laparoscopic esophagogastroplasty: a minimally invasive alternative to esophagectomy in the surgical management of megaesophagus with axis deviation","volume":"27","author":"Agarwal AK","year":"2013","journal-title":"Surg Endosc"},{"key":"ref2","first-page":"1425:1430","article-title":"Long-Term Results of the modified Thal procedure in patients with Chagasic Megaesophagus","volume":"38","author":"Alves APR","year":"2014","journal-title":"World J Surg"},{"issue":"6","key":"ref3","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1016\/j.athoracsur.2014.02.046","article-title":"Comparison of Pyloric Intervention Strategies at the Time of Esophagectomy: Is More Better","volume":"97","author":"Antonoff MB","year":"2014","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"ref4","first-page":"30","article-title":"Evaluation of complications of transmediastinal esophagectomy in the surgical treatment of relapsed megaesophagus","volume":"24","author":"Aquino JLB","year":"2011","journal-title":"Arq Bras Cir Dig"},{"issue":"2","key":"ref5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1590\/s0102-67202015000200003","article-title":"Surgical treatment analysis of idiopatic esphageal acalasia","volume":"28","author":"Aquino JL","year":"2015","journal-title":"ABCD Arq Bras Cir Dig"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"230","DOI":"10.1590\/S0100-69912003000300011","article-title":"Esofagectomia trans-hiatal no tratamento do megaes\u00f4fago chag\u00e1sico avan\u00e7ado","volume":"30","author":"Batista-Neto J","year":"2003","journal-title":"Rev Col Bras Cir"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1590\/S0100-69912013000500012","article-title":"Mechanical cervical esophagogastric latero-lateral anastomosis after esphagectomies","volume":"40","author":"Batista-Neto J","year":"2013","journal-title":"Rev Col Bras Cir"},{"issue":"1","key":"ref8","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1007\/s00464-011-1846-3","article-title":"Decreasing morbidity and mortality in 100 consecutive minimally invasive esophagectomies","volume":"26","author":"Ben-David K","year":"2012","journal-title":"Surg Endosc"},{"key":"ref9","series-title":"Intrasphincteric injection of botulin toxin to treatment of chagasic achalasia","author":"Brandt CQ","year":"2000"},{"key":"ref10","series-title":"Megaes\u00f4fago chag\u00e1sico. 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Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/abcd\/v31n3\/0102-6720-abcd-31-03-e1382.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,12,22]],"date-time":"2018-12-22T00:22:50Z","timestamp":1545438170000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202018000300300&lng=en&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,16]]},"references-count":28,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2018]]}},"alternative-id":["S0102-67202018000300300"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020180001e1382","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2018,8,16]]}}}