6533b855fe1ef96bd12b12d6

RESEARCH PRODUCT

Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum

Alfonso FiorelliAttilio Ignazio Lo MonteMario SantiniFrancesco Paolo Caronia

subject

MaleMyotomyPulmonary and Respiratory Medicinemedicine.medical_specialtymedicine.medical_treatmentSettore MED/21 - Chirurgia ToracicaEsophageal body030204 cardiovascular system & hematologyPleural adhesionsResection03 medical and health sciences0302 clinical medicinePort (medical)medicineHumansEsophagusThoracic Surgery Video-Assistedbusiness.industrySurgery; Pulmonary and Respiratory Medicine; Cardiology and Cardiovascular MedicineMiddle Agedmedicine.diseaseSurgerySettore MED/18 - Chirurgia Generalemedicine.anatomical_structure030220 oncology & carcinogenesisDiverticulum EsophagealSurgerybusinessCardiology and Cardiovascular MedicineUniportal video assisted thoracoscopic surgeryDiverticulumHuman

description

We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, diverticulum, and esophagogastric junction and the better alignment of the stapler cartridge to the longitudinal axis of the esophagus are all technical factors supporting our procedure. Heavily calcified mediastinal lymph nodes and diffuse pleural adhesions are the main contraindications. However, future experiences are needed before this technique can be recommended as acceptable treatment. (C) 2017 by The Society of Thoracic Surgeons.

yearjournalcountryeditionlanguage
2017-04-01
10.1016/j.athoracsur.2016.09.054http://hdl.handle.net/10447/287895