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Japanese

Thoracoscopic assisted and laparoscopic surgeries for recurrent epiphrenic esophageal diverticulum complicated by primary esophageal motility disorder Hideto HAYASHI 1 , Yoshinori YOSHIMOTO 1 , Shigefumi YOSHINO 2 , Kouichirou SAKATA 1 1Department of Surgery, Shimonoseki Medical Center 2Yamaguchi University Hospital, Oncology Center Keyword: 横隔膜上食道憩室 , 一次性食道運動障害 , 腹腔鏡下手術 pp.393-401
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200566
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The patient is a 73-year-old man. He underwent thoracoscopic assisted resection of epiphrenic esophageal diverticulum approximately 9 years ago. The suture line leakage occurred postoperatively and later, diverticulum recurred. On examination, multiloculated cystic diverticulum that measured 6cm in diameter was detected, protruding into the right pleural space. Compression stenosis in the ostium toward abdominal esophagus and obstruction into the stomach were also noted. Intraesophageal pressure measured during the first operation showed the average peristaltic wave of the lower esophagus to be 239 mmHg thus primary esophageal motility disorder was diagnosed. Considering the long-term obstruction accompanied by primary esophageal motility disorder and recurrent esophageal epiphrenic diverticulum, thoracoscopic assisted resection of the diverticulum combined with laparoscopic Heller's myotomy and Dor's fundoplication (Heller-Dor operation) was performed. Esophageal obstruction has improved and there has been no symptoms of esophageal reflux, 6 months after surgery.


Copyright © 2018, 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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