ROBOTIC-ASSISTED LAPAROSCOPIC TRANS-HIATAL MID-BODY ESOPHAGEAL DIVERTICULECTOMY WITH REPAIR OF SLIDING HIATAL HERNIA
Catherine Zivanov, Victoria M. Gershuni*, Steven Tohmasi, Michael M. Awad
Minimally Invasive Surgery, Washington University in St Louis, St Louis, MO
A robotic-assisted laparoscopic trans-hiatal approach was used to resect a large, symptomatic mid-body esophageal diverticulum. A high mediastinal dissection revealed a large traction diverticulum with inflammatory adhesions at the level of the right mainstem bronchus. Intraoperative endoscopy with robotic fluorescence was used to aid dissection. The diverticulum was transected using a stapling device under endoscopic visualization and the crura were reapproximated. In conclusion, a robotic-assisted laparoscopic trans-hiatal approach with intraoperative endoscopy can be used to treat mid-body esophageal diverticula and allow for adjunct myotomy or anti-reflux procedures, as indicated.
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