Objective

: To evaluate the postoperative.

evolution of the 35 patients, considering the stage of the disease and the technique used.

Design

: retrospective and prospective observational, transverse cut.

Material and Method

: A total of 35 patients with achalasia underwent surgery with various techniques, most of them with laparoscopic procedures, evaluating morbidity and mortality pre and postoperatively up to 30 days after discharge.

Results

: Comparisons are made using statistical methods. A large predominance of men over women was observed, with an average age of 50 years, being the main reason for consultation the dysphagia, with a duration of symptoms, on average of 3 years, being less than 7 months and the highest, 45 years. The surgical method used was predominantly laparoscopic. There were 2 patients in need of total esophagectomy, due to evolution of the disease and graduation, requiring intensive care in the immediate postoperative period, 1 patient with esophageal perforation and 1 patient with a posterior fistula. In addition, 1 patient with a subsequent diagnosis of adenocarcinoma of the middle third, stage III, in 2 years, included with in the period of the investigation, having only one operative mortality.

Conclusion

: La paroscopic procedures were the techniques of choice, the preferred technique being Heller with Dor patch, with a very low morbidity and one mortality.

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