R Raakow1, S Schmidt, P Neuhaus. 1. Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Charité, Campus Virchow-Klinikum, Humboldt Universität zu Berlin. roland.raakow@charite.de
Abstract
INTRODUCTION: The operative treatment for epiphrenic diverticula is usually performed via thoracotomy or laparotomy. PATIENTS AND METHODS: Alternatively we describe the feasibility of a laparoscopic transhiatal approach in three consecutive symptomatic patients with four epiphrenic diverticula. In all cases, the diverticula were completely resected laparoscopically in combination with an esophagomyotomy and a posterior partial fundoplication. RESULTS: The three patients showed uneventful postoperative courses with a speedy recovery and are symptom-free after a follow-up of 22-41 months. CONCLUSION: Our results demonstrate that laparoscopic transhiatal procedure in patients with symptomatic epiphrenic diverticula can be performed safely, effectively, and gently.
INTRODUCTION: The operative treatment for epiphrenic diverticula is usually performed via thoracotomy or laparotomy. PATIENTS AND METHODS: Alternatively we describe the feasibility of a laparoscopic transhiatal approach in three consecutive symptomatic patients with four epiphrenic diverticula. In all cases, the diverticula were completely resected laparoscopically in combination with an esophagomyotomy and a posterior partial fundoplication. RESULTS: The three patients showed uneventful postoperative courses with a speedy recovery and are symptom-free after a follow-up of 22-41 months. CONCLUSION: Our results demonstrate that laparoscopic transhiatal procedure in patients with symptomatic epiphrenic diverticula can be performed safely, effectively, and gently.
Authors: A Del Genio; G Rossetti; V Maffetton; A Renzi; L Brusciano; P Limongelli; D Cuttitta; G Russo; G Del Genio Journal: Surg Endosc Date: 2004-05 Impact factor: 4.584