Laparoscopic transhiatal resection of a large mid-esophageal diverticulum: a case report

Tokić, Tomislav and Kirac, Iva and Hrabar, Davor and Troskot, Branko and Bekavac-Bešlin, Miroslav (2018) Laparoscopic transhiatal resection of a large mid-esophageal diverticulum: a case report. Journal of Surgical Case Reports, 2018 (4). pp. 1-3. ISSN 2042-8812

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This is a description of transhiatal laparoscopic approach for mid-esophageal diverticulum. Traditionally mid-esophageal diverticula are approached by thoracotomy or thoracoscopy, with the laparoscopic technique being reserved for epiphrenic diverticula. A 78-year-old Caucasian female with a secondary dilatative ischemic cardiomyopathy presented with dysphagia, tenderness in the epigastrium and a considerable weight loss. A large mid-esophageal diverticulum was found on barium swallow and confirmed by CT scan. Underlying achalasia was recorded on manometry. The patient underwent diverticulectomy via transhiatal approach, followed by Heller myotomy and Dor fundoplication. Throughout the procedure auxiliary, esophagoscopic image was provided by interventional gastroenterologist due to a very narrow operating field and lack of orientation points. Based on our experience with this case, we propose transhiatal approach as a feasible alternative to thoracoscopy, in particular with patients who suffer from cardiac or pulmonary co-morbidities which make traditional techniques of high risk.

Item Type: Article
MeSH: Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2018. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact
Departments: Katedra za internu medicinu
Depositing User: Kristina Berketa
Status: Published
Tokić, TomislavUNSPECIFIED
Troskot, BrankoUNSPECIFIED
Bekavac-Bešlin, MiroslavUNSPECIFIED
Date: 9 April 2018
Date Deposited: 03 Oct 2019 07:56
Last Modified: 03 Oct 2019 07:56
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