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Japanese

Single incision laparoscopic surgery for esophageal achalasia with epiphrenic diverticulum Koji KATO 1 , Shunichi OKUSHIBA 1 , Kazuyuki YAMAMOTO 1 , Yoshinori SUZUKI 1 , Yo KAWARADA 1 , Shuji KITASHIRO 1 1Department of Surgery, Tonan Hospital Keyword: 食道アカラシア , 食道憩室 , 単孔式腹腔鏡下手術 pp.263-268
Published Date 2016/5/15
DOI https://doi.org/10.11477/mf.4426200257
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A 63-year-old woman who had suffered from esophageal achalasia since she was in her 30s was referred to us for surgical treatment of an esophageal diverticulum. Computed tomography performed upon her admission to our hospital revealed a 50-mm diverticulum in the lower esophagus near the diaphragm, and esophageal manometer revealed elevated lower esophageal sphincter pressure. Thus, lower esophageal sphincter dysfunction was diagnosed. We chose to perform single-port laparoscopic surgery because of its cosmetic advantage. We placed an incision at the umbilicus, removed the diverticulum by multi-trocar method, extended the cut made in the muscular layer of the esophagus, and performed a Heller-Dor operation. All procedures were performed through the single umbilical port. An automatic suturing instrument was inserted into the esophagus in the axial direction for the removal of the diverticulum, esophago-cardiomyotomy, and cardioplasty. The esophageal condition in this case was benign and the tissues to be extracted were fairly small, so the disorder proved to be an ideal indication for single incision laparoscopic surgery.


Copyright © 2016, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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