Laparoscopic long esophagomyotomy with Dor's fundoplication using a transhiatal approach for an epiphrenic esophageal diverticulum.
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.
Motoyama
Satoru
S
Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
Maruyama
Kiyotomi
K
Okuyama
Manabu
M
Sasaki
Kenji
K
Sato
Yusuke
Y
Ogawa
Jun-ichi
J
D004936:Diverticulum, Esophageal / Q000000981:diagnostic imaging / Q000601:surgery*; D004947:Esophagus / Q000601:surgery*; D018662:Fundoplication; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009130:Muscle, Smooth / Q000601:surgery; D011859:Radiography