Balci Bengi, Kilinc Gizem, Calik Bülent, Akbulut Gökhan
Department of General Surgery, Tepecik Education and Research Hospital, Izmir, Turkey.
JSLS. 2018 Apr-Jun;22(2). doi: 10.4293/JSLS.2018.00002.
Esophageal diverticulum is a rare entity with symptoms that include dysphagia, halitosis, chest pain, and regurgitation. Indications for surgery include the presence of any of these symptoms and a diverticulum larger than 3 cm because of the increased risk of malignancy and aspiration. Treatment is open or minimally invasive surgery performed from the transhiatal or transthoracic approach.
Three patients were investigated by esophagogastroduodenoscopy, esophageal manometry, and computed tomography and were given the diagnosis of epiphrenic diverticulum of the esophagus.
The patients underwent robot-assisted surgery by a transthoracic approach for esophageal diverticulectomy. The mean operative time was 211 min, with no significant blood loss or intraoperative complications.
This report of robot-assisted surgery for esophageal diverticulectomy from a transthoracic approach adds to the literature regarding surgical treatment of epiphrenic esophageal diverticulum. It is a feasible method that can be used in selected patients with esophageal diverticulum.
食管憩室是一种罕见疾病，症状包括吞咽困难、口臭、胸痛和反流。手术指征包括出现上述任何症状以及憩室大于3cm，因为恶性肿瘤和误吸风险增加。治疗方法是经裂孔或经胸入路的开放手术或微创手术。
对三名患者进行了食管胃十二指肠镜检查、食管测压和计算机断层扫描，诊断为食管膈上憩室。
患者接受了经胸入路机器人辅助手术以切除食管憩室。平均手术时间为211分钟，无明显失血或术中并发症。
本报告关于经胸入路机器人辅助食管憩室切除术的内容丰富了食管膈上憩室手术治疗的文献。这是一种可行的方法，可用于选定的食管憩室患者。
