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Laproendoscopic single site oesophageal diverticulectomy.
J Minim Access Surg 2013; 9(3):128-31JM

Abstract

Epiphrenic divericula are uncommon disorders of the lower oesophagus, which are symptomatic in only 15-20% of cases. The optimum treatment modality for such cases remains an oesophageal diverticulectomy with long myotomy with or without an antireflux operation. Recently, this is increasingly being done through the laparoscopic approach. Here we describe the first reported case of oesophageal diverticulectomy through the laparoendoscopic single site approach. A 57-year-old man presented to us with 6 months history of dysphagia and regurgitation. Patient was investigated with upper gastrointestinal (UGI) endoscopy, barium swallow, CECT chest and abdomen, oesophageal manometry and 24 hour pH study. He was diagnosed to have lower oesophageal diverticulum with mildly elevated pressure readings in manometric studies with normal peristalsis. Based on his symptoms, he was taken up for surgery. A laparoscopic transhiatal oesophageal diverticulectomy with myotomy was done through laparoendoscopic single site technique. The procedure lasted 160 min. There was no intraoperative complication. Gastrograffin study was done on postoperative day 2 following which he was started on liquids. He made an uneventful recovery and was discharged on fourth day. He remained asymptomatic on follow up. Oesophageal diverticulectomy is possible through laparoendoscopic single site approach if necessary expertise is available.

Authors+Show Affiliations

Department of GI Surgery, GEM Hospital, Coimbatore, Tamil Nadu, India.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports

Language

eng

PubMed ID

24019692

Citation

Palanivelu, Chinnusamy, et al. "Laproendoscopic Single Site Oesophageal Diverticulectomy." Journal of Minimal Access Surgery, vol. 9, no. 3, 2013, pp. 128-31.
Palanivelu C, Vij A, Rajapandian S, et al. Laproendoscopic single site oesophageal diverticulectomy. J Minim Access Surg. 2013;9(3):128-31.
Palanivelu, C., Vij, A., Rajapandian, S., Palanisamy, S., Ahluwalliah, J. S., & Palanivelu, P. (2013). Laproendoscopic single site oesophageal diverticulectomy. Journal of Minimal Access Surgery, 9(3), pp. 128-31. doi:10.4103/0972-9941.115375.
Palanivelu C, et al. Laproendoscopic Single Site Oesophageal Diverticulectomy. J Minim Access Surg. 2013;9(3):128-31. PubMed PMID: 24019692.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Laproendoscopic single site oesophageal diverticulectomy. AU - Palanivelu,Chinnusamy, AU - Vij,Anirudh, AU - Rajapandian,Subbiya, AU - Palanisamy,Senthilnathan, AU - Ahluwalliah,Jasmeet S, AU - Palanivelu,Praveenraj, PY - 2012/05/25/received PY - 2012/07/10/accepted PY - 2013/9/11/entrez PY - 2013/9/11/pubmed PY - 2013/9/11/medline KW - Epiphrenic diverticulum KW - LESS KW - laparoscopic oesophageal surgery KW - oesophageal diverticulectomy KW - single incision laparoscopy SP - 128 EP - 31 JF - Journal of minimal access surgery JO - J Minim Access Surg VL - 9 IS - 3 N2 - Epiphrenic divericula are uncommon disorders of the lower oesophagus, which are symptomatic in only 15-20% of cases. The optimum treatment modality for such cases remains an oesophageal diverticulectomy with long myotomy with or without an antireflux operation. Recently, this is increasingly being done through the laparoscopic approach. Here we describe the first reported case of oesophageal diverticulectomy through the laparoendoscopic single site approach. A 57-year-old man presented to us with 6 months history of dysphagia and regurgitation. Patient was investigated with upper gastrointestinal (UGI) endoscopy, barium swallow, CECT chest and abdomen, oesophageal manometry and 24 hour pH study. He was diagnosed to have lower oesophageal diverticulum with mildly elevated pressure readings in manometric studies with normal peristalsis. Based on his symptoms, he was taken up for surgery. A laparoscopic transhiatal oesophageal diverticulectomy with myotomy was done through laparoendoscopic single site technique. The procedure lasted 160 min. There was no intraoperative complication. Gastrograffin study was done on postoperative day 2 following which he was started on liquids. He made an uneventful recovery and was discharged on fourth day. He remained asymptomatic on follow up. Oesophageal diverticulectomy is possible through laparoendoscopic single site approach if necessary expertise is available. SN - 0972-9941 UR - https://www.unboundmedicine.com/medline/citation/24019692/Laproendoscopic_single_site_oesophageal_diverticulectomy_ L2 - http://www.journalofmas.com/article.asp?issn=0972-9941;year=2013;volume=9;issue=3;spage=128;epage=131;aulast=Palanivelu DB - PRIME DP - Unbound Medicine ER -