Treatment of esophageal diverticula in uniportal video-assisted thoracoscopic surgery

Zanfrini, Edoardo; Nachira, Dania; Chiappetta, Marco; Meacci, Elisa; Congedo, Maria Teresa; Ferretti, Gian Maria; Pogliani, Laura; Iaffaldano, Amedeo; Vita, Maria Letizia; Porziella, Venanzio; Margaritora, Stefano

doi:10.21037/shc.2019.01.03

Cited by 1 publication

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“…Surgery strategies include not only diverticulectomy, but also a myotomy and fundoplication, or hiatal hernia repair if necessary. 10 Hence, the treatment of epiphrenic diverticula is based on symptoms, not on size of diverticulum, focusing on the underlying motility disorder that is commonly present. Indications for surgery are worsening of symptoms such as dysphagia, regurgitation, or food retention, moreover on complications like compressive effect, aspiration pneumonia, perforation e-malignant transformation.…”

Section: Discussionmentioning

confidence: 99%

“…Minimally invasive access depends on the localization of the diverticulum from the lower esophageal sphincter, resulting in transhiatal or transthoracic. This kind of procedure also includes video-assisted thoracic surgery 10 and robotic-assisted devices such as “da Vinci ® Surgical System Robot”, improving the visualization of the site of interest compared to traditional laparoscopic/thoracoscopic approach. 3 Given the pathophysiology of the diverticulum, of underlying motility disorders, myotomy is routinely employed to reduce the rate of recurrence.…”

Section: Discussionmentioning

confidence: 99%

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Giant epiphrenic diverticulum: an unusual case from diagnosis to treatment

et al. 2022

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Esophageal diverticulum is a rare disease caused by impairment of esophageal motility. The incidence is not known, due to lack of symptoms in many cases. Surgical treatment is reserved to symptomatic patients. In this case report, we describe a rare case of epiphrenic esophageal diverticulum. A 61-year-old male with silent medical history, suffering severe chest pain had a CT scan showing a large esophageal diverticulum. The patient was referred to our hospital, IRCCS “Casa Sollievo della Sofferenza”, to complete pre-operative assessment with a CT scan and a Barium swallowing radiography, giving morphodimensional details of the diverticulum. Based on these findings, the surgeons have chosen the appropriate operative strategy. The surgeons adopted a laparoscopic access, completed with robotic-assisted laparotomy due to the morphology of the diverticulum. Radiological evaluation is crucial in the diagnosis and in the treatment planning of symptomatic patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%