The operation of the epiphrenal diverticulum of the oesophagus - due to its anatomical position - is feasible either from the thoracotomy or from the laparotomy. The advantages of the first method are the better exploration possibility and the technically easier operation. At the same time, the disadvantage of the operative burden laid on the patient by opening his/her thoracic cavity is no to be underestimated either. In case of an abdominal approach, the diverticulum in the mediastinum causes difficulties. The laparoscopic method combines the advantages of both solutions. The authors report the case of a 62 years old woman with a history of regurgitation and swallowing problems accompanied by a 20-kilo weight loss. Barium oesophagography and oesophagogastroduodenoscopy showed a typically positioned 11-cm large epiphrenal diverticulum. As an operative solution transhiatal laparoscopic resection of the diverticulum with Heller cardiomyotomy and Dor fundoplication using an endoscopic stapler was performed. The postoperative period was uneventful; the patient was discharged on the 8th postoperative day with unhindered swallow. In the international literature 79 cases treated with minimal invasive therapy have been published so far. Based on own experience, the authors state that the laparoscopic transhiatal resection of the epiphrenal diverticulum of the oesophagus is successful and might be the method to be chosen.
|Translated title of the contribution||Laparoscopic transhiatal resection of epiphrenic diverticulum of the esophagus|
|Number of pages||3|
|Publication status||Published - Nov 12 2006|
ASJC Scopus subject areas