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Laparoscopic Epiphrenic Diverticulectomy, Heller Myotomy, and Dor Fundoplication for a Giant Epiphrenic Diverticulum
Rebecca G. Lopez*, Mihir M. Shah, Benjamin M. Martin, Jamil L. Stetler, Ankit Patel, Jahnavi Srinivasan, John Sweeney, S. Scott Davis, Edward Lin Surgery, Emory University, Atlanta, GA
This video demonstrates techniques used to successfully dissect a large epiphrenic diverticulum out of the mediastinum. This diverticulum was found to be densely adherent to the left pleura. With the use of an additional penrose drain around the diverticulum for traction and meticulous blunt and thermal dissection, soft tissue attachments were more easily visualized and dissected, allowing for successful excision of this large esophageal diverticulum. Subsequently, a Heller myotomy and Dor fundoplication were performed to complete the operation for resection of this large epiphrenic diverticulum.
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