Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum

We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, di...

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Veröffentlicht in:The Annals of thoracic surgery 2017-04, Vol.103 (4), p.e365-e367
Hauptverfasser: Caronia, Francesco Paolo, MD, Fiorelli, Alfonso, MD, PhD, Santini, Mario, MD, Lo Monte, Attilio Ignazio, MD
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container_end_page e367
container_issue 4
container_start_page e365
container_title The Annals of thoracic surgery
container_volume 103
creator Caronia, Francesco Paolo, MD
Fiorelli, Alfonso, MD, PhD
Santini, Mario, MD
Lo Monte, Attilio Ignazio, MD
description We describe a new video-assisted technique for the management of a giant midesophageal diverticulum using a single 5-cm port. It maintained the same principles of the traditional open technique as diverticulectomy, myotomy, and fundoplication. The better visualization of the main esophageal body, diverticulum, and esophagogastric junction and the better alignment of the stapler cartridge to the longitudinal axis of the esophagus are all technical factors supporting our procedure. Heavily calcified mediastinal lymph nodes and diffuse pleural adhesions are the main contraindications. However, future experiences are needed before this technique can be recommended as acceptable treatment.
doi_str_mv 10.1016/j.athoracsur.2016.09.054
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Cardiothoracic Surgery
Diverticulum, Esophageal - pathology
Diverticulum, Esophageal - surgery
Humans
Male
Middle Aged
Surgery
Thoracic Surgery, Video-Assisted - methods
title Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum
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