Minimally invasive surgery for esophageal epiphrenic diverticulum: The results of 133 patients in 25 published series and our experience

Yuki Hirano, Hiroya Takeuchi, Takashi Oyama, Yoshiro Saikawa, Masahiro Niihara, Hiroyuki Sako, Kenshi Omagari, Tomohiko Nishi, Hidekazu Suzuki, Toshifumi Hibi, Yuko Kitagawa

研究成果: Review article査読

18 被引用数 (Scopus)

抄録

Esophageal epiphrenic diverticula are uncommon. Traditionally, thoracotomy has been the preferred surgical approach. Recently, minimally invasive approaches have been reported in a few series. However, the best surgical approach remains uncertain. In this study, we review the results of 25 articles discussing laparoscopic or thoracoscopic surgery. From January 1995 to December 2008, there were a total of 133 patients reported in English-language journals in PubMed. Nineteen patients (14%) underwent thoracoscopic surgery, 112 (84%) laparoscopic surgery and two patients (2%) were treated using a combination approach. The diverticulectomy was performed using an endostapler device in all patients. A myotomy was added in 103 patients (83%). A fundoplication was added in 106 patients (85%). There were two deaths during surgery (2%). The post-operative morbidity rate was 21%. The most severe complication was suture-line leakage, which occurred in 20 patients (15%). Recently, we successfully treated a patient with an epiphrenic esophageal diverticulum by performing a minimally invasive laparoscopic transhiatal resection and Heller myotomy with Dor fundoplication after observing its enlargement on radiological and endoscopic examinations over 2years. We believe laparoscopic transhiatal resection and Heller myotomy with Dor fundoplication may therefore become the standard treatment modality for minimally invasive surgery for esophageal epiphrenic diverticulum.

本文言語English
ページ(範囲)1-7
ページ数7
ジャーナルSurgery today
43
1
DOI
出版ステータスPublished - 2013 1

ASJC Scopus subject areas

  • 外科

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