title: Robotic transhiatal excision of epiphrenic diverticula.
abstract: An epiphrenic oesophageal diverticulum is most commonly a pulsion diverticulum which develops consequent to protrusion of mucosa through the muscular wall of the distal oesophagus. Most of them are associated with underlying oesophageal motility disorders. The predominant symptoms are dysphagia with regurgitation, and sometimes retrosternal pain, if accompanied by spasm of the oesophagus. Surgical management is recommended for symptomatic patients. Traditional procedures include thoracotomy or laparotomy with excision of the diverticula, but these are associated with high morbidity. Laparoscopic approach is a safe treatment option associated with lesser morbidity. Here, we present a case of epiphrenic diverticulum which was treated by the robotic approach without any complication. There was also no associated motility abnormality in our case so fundoplication was not done. Robotic surgery is a useful tool while operating near the hiatus and gastro-oesophageal junction. We consider transhiatal robotic approach as a safe and easy approach for surgery of epiphrenic diverticulum.
authors.affiliation: Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India. vachan_sh@rediffmail.com.
authors.forename: Vachan S
authors.initials: VS
authors.lastname: Hukkeri
authors.affiliation: Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India.
authors.forename: Satyaprakash
authors.initials: S
authors.lastname: Jindal
authors.affiliation: Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India.
authors.forename: Mohd
authors.initials: M
authors.lastname: Qaleem
authors.affiliation: Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India.
authors.forename: Vivek
authors.initials: V
authors.lastname: Tandon
authors.affiliation: Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Govil
mesh_terms: D003680:Deglutition Disorders / Q000209:etiology; D004936:Diverticulum, Esophageal / Q000601:surgery*; D015154:Esophageal Motility Disorders / Q000209:etiology; D005260:Female; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D065287:Robotic Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014839:Vomiting / Q000209:etiology
keywords: Dysphagia; Epiphrenic diverticula; Robotic surgery; Transhiatal