Laparoscopic long esophagomyotomy with Dor's fundoplication using a transhiatal approach for an epiphrenic esophageal diverticulum.

Abstract

The conventional treatment for an epiphrenic diverticulum consists of diverticulectomy with or without myotomy via a left thoracic approach. We describe the resection of an epiphrenic esophageal diverticulum using a laparoscopic transhiatal approach after observing its rate of enlargement on routine chest X-rays done over a number of years. This approach eliminates the need for thoracotomy and pleural drainage, and permits a complete laparoscopic procedure, including diverticulectomy, myotomy, and antireflex surgery.

• Authors: Satoru Motoyama, Kiyotomi Maruyama, Manabu Okuyama, Kenji Sasaki, Yusuke Sato, Jun-ichi Ogawa
• Journal: Surgery today (Surg Today) Vol. 36 Issue 8 Pg. 758-60 ( 2006) ISSN: 0941-1291 [Print] Japan
• PMID: 16865526 (Publication Type: Case Reports, Journal Article)

Topics

• Diverticulum, Esophageal (diagnostic imaging, surgery)
• Esophagus (surgery)
• Fundoplication
• Humans
• Laparoscopy
• Male
• Middle Aged
• Muscle, Smooth (surgery)
• Radiography