Department of Surgery, Pritzker School of Medicine, University of Chicago, Chicago, IL, USA.
J Gastrointest Surg. 2010 Dec;14(12):2009-15. doi: 10.1007/s11605-010-1216-9. Epub 2010 May 1.
Epiphrenic diverticula of the esophagus are usually associated with a concomitant esophageal motility disorder. The main symptoms experienced by patients are dysphagia, regurgitation, and aspiration. The best surgical treatment is still debated, particularly the need for a myotomy in addition to resection of the diverticulum.
While for many decades the traditional approach was through a left thoracotomy, more recently, minimally invasive techniques have been successfully used and are now the procedure of choice in most cases. The purpose of this article was to review (a) the current understanding of the pathophysiology of epiphrenic diverticulum, (b) how this understanding should guide the surgical treatment, and (c) the surgical approach.
食管膈上憩室通常与食管运动障碍并存。患者的主要症状是吞咽困难、反流和误吸。最佳的手术治疗方法仍存在争议，特别是是否需要除憩室切除以外的肌切开术。
虽然数十年来传统的方法是通过左开胸手术，但最近微创技术已成功应用，并且目前在大多数情况下成为首选的手术方法。本文的目的是回顾（a）膈上憩室的病理生理学的现有认识，（b）这种认识应如何指导手术治疗，以及（c）手术方法。
