title: 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.affiliation: Department of Surgery, Akita University School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan.
authors.forename: Satoru
authors.initials: S
authors.lastname: Motoyama
authors.forename: Kiyotomi
authors.initials: K
authors.lastname: Maruyama
authors.forename: Manabu
authors.initials: M
authors.lastname: Okuyama
authors.forename: Kenji
authors.initials: K
authors.lastname: Sasaki
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Sato
authors.forename: Jun-ichi
authors.initials: J
authors.lastname: Ogawa
mesh_terms: 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