An Epiphrenic Diverticulum with Previous Perforation Excised Laparoscopically.
Case Rep Surg
; 2024: 3556567, 2024.
Article
em En
| MEDLINE
| ID: mdl-38903609
ABSTRACT
An epiphrenic diverticulum (ED) is a rare pseudodiverticulum commonly located at the lower end of the oesophagus. Surgical treatment is only required in patients with worsening dysphagia or repeated chest infection due to microaspirations, and most patients are now treated with minimally invasive surgery (MIS) using the laparoscopic or thoracoscopic approach. Laparoscopic surgery is considered difficult in the presence of previous perforation of the diverticula owing to the intraperitoneal and mediastinal adhesions and is associated with an increased incidence of complications. We were able to perform a laparoscopic transhiatal resection safely on a patient who had a large ED with a wide neck and dense abdominal and mediastinal adhesions due to previous localized perforation.
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MEDLINE
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En
Ano de publicação:
2024
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Article