Skip to main content
SpringerLink
Log in

Robotic transhiatal excision of epiphrenic diverticula

  • Case Report
  • Published:
Journal of Robotic Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

References

  1. Hudspeth DA, Thorne MT, Conroy R et al (1993) Management of epiphrenic esophageal diverticula: a fifteen-year experience. Am Surg 59:40–42

    CAS  PubMed  Google Scholar 

  2. Deschamps C, Trastek VF (2000) Esophageal diverticula. In: Shields TW, LoCicero J, Ponn RB (eds) General thoracic surgery, 5th edn. Lippincott Williams & Wilkins, Philadelphia, pp 1839–1849

    Google Scholar 

  3. Benacci JC, Deschamps C, Trastek VF, Allen MS, Daly RC, Pairolero PC (1993) Epiphrenic diverticulum: results of surgical treatment. Ann Thorac Surg 55:1109–1114

    Article  CAS  PubMed  Google Scholar 

  4. Jordan PH Jr, Kinner BM (1999) New look at epiphrenic diverticula. World J Surg 23:147–152

    Article  PubMed  Google Scholar 

  5. Fasano NC, Levine MS, Rubesin SE, Redfern RO, Laufer I (2003) Epiphrenic diverticulum: clinical and radiographic findings in 27 patients. Dysphagia 18:9–15

    Article  PubMed  Google Scholar 

  6. Tescado P, Fisichella PM, Way LW, Patti MG (2005) Cause and treatment of epiphrenic diverticula. Am J Surg 190:891–894

    Article  Google Scholar 

  7. Costantini M, Zaninotto G, Rizzetto G, Narne S, Ancona E (2004) Esophageal diverticula. Best Pract Res Clin Gastroenterol 18:3–17

    Article  PubMed  Google Scholar 

  8. Ruizde Angulo Martin D, Ortiz Escandell MA, Martinez de Haro LF et al (2009) Epiphrenic diverticula: when and how to operate? Cir Esp 85:196–204

    Article  Google Scholar 

  9. Altorki NK, Sunagawa M, Skinner DB (1993) Thoracic esophageal diverticula: Why is operation necessary? J Thorac Cardiovasc Surg 105:260–264

    CAS  PubMed  Google Scholar 

  10. Zaninotto G, Parise P, Salvador R, Costantini M, Zanatta L, Rella A et al (2012) Laparoscopic repair of epiphrenic diverticulum. Semin Thorac Cardiovasc Surg 24(3):218–222

    Article  PubMed  Google Scholar 

  11. Laubert T, Hildebrand P, Roblick UJ, Kraus M, Esnaashari H, Wellhöner P et al (2010) MIS approach for diverticula of the esophagus. Eur J Med Res 15(9):390–396

    Article  PubMed  PubMed Central  Google Scholar 

  12. Klaus A, Hinder RA, Swain J, Achem SR (2003) Management of epiphrenic diverticula. J Gastrointest Surg. 7(7):906–911

    Article  PubMed  Google Scholar 

  13. Elola-Olaso AM, Mullett TW, Gagliardi RJ (2009) Epiphrenic diverticulum: robotic-assisted transhiatal approach. Surg Laparosc Endosc Percutan Tech 19(5):184–188

    Article  Google Scholar 

  14. Pernazza G, Monsellato I, Pende V, Alfano G, Mazzocchi P, D’Annibale A (2012) Fully robotic treatment of an epiphrenic diverticulum: report of a case. Minim Invasive Ther Allied Technol 21(2):96–100

    Article  PubMed  Google Scholar 

  15. Cerfolio RJ, Bryant AS, Minnich DJ (2012) Operative techniques in robotic thoracic surgery for inferior or posterior mediastinal pathology. J Thorac Cardiovasc Surg 143(5):1138–1143

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgical Gastroenterology, Indraprastha Apollo Hospital, New Delhi, 110076, India

    Vachan S. Hukkeri, Satyaprakash Jindal, Mohd. Qaleem, Vivek Tandon & Deepak Govil

Authors
  1. Vachan S. Hukkeri
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Satyaprakash Jindal
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mohd. Qaleem
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Vivek Tandon
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Deepak Govil
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Vachan S. Hukkeri.

Ethics declarations

Conflict of interest

Dr. Vachan S. Hukkeri, Dr. Satyaprakash Jindal, Dr. Mohd. Qaleem, Dr. Vivek Tandon and Dr. Deepak Govil declare that they have no conflict of interest.

Ethical considerations

Written informed consent was obtained from the patient for publication of this case report and the accompanying images. The present publication has been approved by the ethical committee of the hospital. A copy of the written consent is available for review in case required.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MP4 117470 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hukkeri, V.S., Jindal, S., Qaleem, M. et al. Robotic transhiatal excision of epiphrenic diverticula. J Robotic Surg 10, 365–368 (2016). https://doi.org/10.1007/s11701-016-0595-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11701-016-0595-7

Keywords

Search

Navigation