ROBOTIC APPROACH TO A MASSIVE EPIPHRENIC DIVERTICULUM
Lauren McTaggart*, Andrea Medina, Mafaz Kattih, Christopher DuCoin
General Surgery, University of South Florida, Tampa, FL
We demonstrate a successful robotic approach to a massive epiphrenic diverticulum. The patient is a 75 year old female presenting with dysphagia and GERD. Pre-operative manometry was diagnostic for achalasia and timed barium swallow, along with upper endoscopy, demonstrated a large epiphrenic diverticulum in the distal esophagus. The patient underwent a robotic, laparoscopic-assisted diverticulectomy, heller myotomy and hiatal hernia repair with omental flap buttress over the myotomy. Post-operative esophagram showed no evidence of leak or perforation. The patient had no complications and experienced symptomatic improvement.
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