Laparoscopic approach in the treatment of large epiphrenic esophageal diverticulum

Virgilijus Beiša; Mindaugas Kvietkauskas; Augustas Beiša; Kęstutis Strupas

doi:10.5114/wiitm.2015.56407

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abstract:

Case report

Laparoscopic approach in the treatment of large epiphrenic esophageal diverticulum

Virgilijus Beiša

,

Mindaugas Kvietkauskas

,

Augustas Beiša

,

Kęstutis Strupas

Videosurgery Miniinv 2015; 10 (4): 584–588

DOI: https://doi.org/10.5114/wiitm.2015.56407

Online publish date: 2015/12/16

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Epiphrenic diverticulum of the lower third of the esophagus is a relatively rare disorder. We present the case of a large, 7.5 cm diameter esophageal epiphrenic diverticulum treated by the laparoscopic approach. Surgery was indicated by the severity of the patient‘s symptoms and size of the diverticulum. A laparoscopic transhiatal diverticulectomy with a myotomy and Dor fundoplication was carried out. The overall operative time was 180 min. The patient tolerated the surgery well and was discharged from hospital 4 days after the surgery. From the 10th postoperative day the patient resumed a regular diet. Four weeks after the operation the patient had no complaints, symptoms of dysphagia or vomiting. The laparoscopic approach in the treatment of a large, 7.5 cm epiphrenic diverticulum of the esophagus is feasible, safe and well tolerated by the patient.

keywords:

Laparoscopic approach in the treatment of large epiphrenic esophageal diverticulum

Virgilijus Beiša , Mindaugas Kvietkauskas , Augustas Beiša , Kęstutis Strupas

epiphrenic diverticulum, esophageal diverticulum, laparoscopic esophageal surgery, transhiatal approach

Virgilijus Beiša

,

Mindaugas Kvietkauskas

,

Augustas Beiša

,

Kęstutis Strupas