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腹腔镜手术治疗巨大膈上型食管憩室

Laparoscopic approach in the treatment of large epiphrenic esophageal diverticulum.

作者信息

Beiša Virgilijus, Kvietkauskas Mindaugas, Beiša Augustas, Strupas Kęstutis

机构信息

Center of Abdominal Surgery, Vilnius University, Vilnius, Lithuania.

出版信息

Wideochir Inne Tech Maloinwazyjne. 2016 Jan;10(4):584-8. doi: 10.5114/wiitm.2015.56407. Epub 2015 Dec 16.

DOI:10.5114/wiitm.2015.56407
PMID:26865897
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4729731/
Abstract

Epiphrenic diverticulum of the lower third of the esophagus is a relatively rare disorder. We present the case of a large, 7.5 cm diameter esophageal epiphrenic diverticulum treated by the laparoscopic approach. Surgery was indicated by the severity of the patient's symptoms and size of the diverticulum. A laparoscopic transhiatal diverticulectomy with a myotomy and Dor fundoplication was carried out. The overall operative time was 180 min. The patient tolerated the surgery well and was discharged from hospital 4 days after the surgery. From the 10(th) postoperative day the patient resumed a regular diet. Four weeks after the operation the patient had no complaints, symptoms of dysphagia or vomiting. The laparoscopic approach in the treatment of a large, 7.5 cm epiphrenic diverticulum of the esophagus is feasible, safe and well tolerated by the patient.

摘要

食管下三分之一的膈上憩室是一种相对罕见的疾病。我们报告一例直径达7.5厘米的巨大食管膈上憩室，采用腹腔镜手术治疗。手术指征为患者症状的严重程度和憩室大小。实施了腹腔镜经裂孔憩室切除术、肌切开术和Dor胃底折叠术。总手术时间为180分钟。患者对手术耐受性良好，术后4天出院。术后第10天患者恢复正常饮食。术后四周患者无不适主诉，无吞咽困难或呕吐症状。腹腔镜手术治疗直径7.5厘米的巨大食管膈上憩室是可行、安全的，且患者耐受性良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/c9f6cd13bcc6/WIITM-10-26388-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/671000c99d87/WIITM-10-26388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/07195c113eea/WIITM-10-26388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/a14aff57f7ce/WIITM-10-26388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/1b3622a8c608/WIITM-10-26388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/d34c23e43db7/WIITM-10-26388-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/407ef306b508/WIITM-10-26388-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/c9f6cd13bcc6/WIITM-10-26388-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/671000c99d87/WIITM-10-26388-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/07195c113eea/WIITM-10-26388-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/a14aff57f7ce/WIITM-10-26388-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/1b3622a8c608/WIITM-10-26388-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/d34c23e43db7/WIITM-10-26388-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/407ef306b508/WIITM-10-26388-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d72/4729731/c9f6cd13bcc6/WIITM-10-26388-g007.jpg

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A Patient with Vigorous Achalasia and Rapid Enlargement of an Epiphrenic Esophageal Diverticulum.一名患有强力型贲门失弛缓症且膈上食管憩室迅速增大的患者。
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