Abstract
The laparoscopic repair of epiphrenic diverticulum is today considered the standard surgical approach that has replaced the traditional repair through a left thoracotomy. The laparoscopic approach has in fact several advantages over a left thoracotomy or thoracoscopy: it allows a cardiomyotomy extending far onto the stomach, contralateral to the diverticular staple line; it allows a partial fundoplication that prevents gastroesophageal reflux and covers the cardiomyotomy; and it avoids the discomfort of a chest tube postoperatively. This chapter illustrates the preoperative work-up and choice of surgical technique.
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Del Genio A, Rossetti G, Maffettone V, Renzi A, Brusciano L, Limongelli P, et al. Laparoscopic approach in the treatment of epiphrenic diverticula: long-term results. Surg Endosc. 2004;18:741–5.
Fernando HC, Luketich JD, Samphire J, Alvelo-Rivera M, Christie NA, Buenaventura PO, et al. Minimally invasive operation for esophageal diverticula. Ann Thorac Surg. 2005;80:2076–80.
Fisichella PM. Laparoscopic repair of epiphrenic diverticulum. Semin Thorac Cardiovasc Surg. 2012;24:223–8.
Matthews BD, Nelms CD, Lohr CE, Harold KL, Kercher KW, Heniford BT. Minimally invasive management of epiphrenic esophageal diverticula. Am Surg. 2003;69:465–70.
Melman L, Quinlan J, Robertson B, Brunt LM, Halpin VJ, Eagon JC, et al. Esophageal manometric characteristics and outcomes for laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication for epiphrenic diverticula. Surg Endosc. 2009;23:1337–41.
Nehra D, Lord RV, DeMeester TR, Theisen J, Peters JH, Crookes PF, Bremner CG. Physiologic basis for the treatment of epiphrenic diverticulum. Ann Surg. 2002;235:346–54.
Rosati R, Fumagalli U, Elmore U, de Pascale S, Massaron S, Peracchia A. Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum. Am J Surg. 2011;201:132–5.
Soares RV, Montenovo M, Pellegrini CA, Oelschlager BK. Laparoscopy as the initial approach for epiphrenic diverticula. Surg Endosc. 2011;25:3740–6.
Tedesco P, Fisichella PM, Way LW, Patti MG. Cause and treatment of epiphrenic diverticula. Am J Surg. 2005;190:902–5.
Zaninotto G, Parise P, Salvador R, Costantini M, Zanatta L, Rella A, Ancona E. Laparoscopic repair of epiphrenic diverticulum. Semin Thorac Cardiovasc Surg. 2012;24:218–22.
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Fisichella, P.M., Jalilvand, A. (2015). Laparoscopic Treatment of Epiphrenic Diverticula. In: Fisichella, P., Patti, M. (eds) Atlas of Esophageal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-13015-6_12
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DOI: https://doi.org/10.1007/978-3-319-13015-6_12
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-13014-9
Online ISBN: 978-3-319-13015-6
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