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Robotic-Assisted Esophageal Epiphrenic Diverticulectomy, Myotomy and Dor Hemi-Fundoplication
Daniel K. Tong*, Simon Law, Fion S. Chan Surgery, The University of Hong Kong, Hong Kong, Hong Kong
A 57-year-old woman presented with intermittent dysphagia and occasional regurgitation for 6 months. Pre-intervention investigations included contrast upper GI study, endoscopy and manometry that showed a 4cm epiphrenic diverticulum located at the lower esophagus facing the right side. Manometry revealed an increased lower esophageal sphincter resting pressure. Diverticulectomy, myotomy and Dor hemi-fundoplication was performed using Robotic-assistance. The operative steps included isolation of the diverticulum with sparing of the vagi, diverticulectomy by using a linear stapler, anterior myotomy and a Dor 180 degree anterior hemi-fundoplication.
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