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Japanese

Thoracoscopic diverticulectomy for epiphrenic diverticulum Hiroshi EDAGAWA 1,2 , Yuji ISHIBASHI 1 , Yoshinori KOHIRA 1 , Yukinori YUBE 1 , Shinichi OKA 1 , Tetsu FUKUNAGA 1 1Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Hospital 2Department of Digestive Surgery, Tokushima Red Cross Hospital Keyword: 横隔膜上食道憩室 , 憩室切除 , 胸腔鏡下手術 pp.769-773
Published Date 2017/11/15
DOI https://doi.org/10.11477/mf.4426200476
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A 67-year-old woman presented with regurgitation. Endoscopic examination disclosed a large epiphrenic diverticulum and esophageal hiatal hernia but no reflux esophagitis. A barium swallow showed pooling of barium in the diverticulum measuring 5 cm in length and barium reflex into the esophagus in the lateral decubitus position. Chest computed tomography showed an esophageal diverticulum with fluid collection near the left diaphragm. Therefore, we considered that the epiphrenic diverticulum had caused the regurgitation, and thoracoscopic diverticulectomy was performed. Postoperative course was uneventful. Histopathological finding showed a true diverticulum with preserved musculare layer. Epiphrenic diverticula are uncommon, and recently, minimally invasive thoracoscopic and laparoscopic approaches for treatment have been reported in a few series. However, the best surgical approach remains uncertain. We proposed that thoracoscopic surgery could be a possible standard operative approach for a large epiphrenic diverticulum.


Copyright © 2017, 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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