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LAPAROSCOPIC HELLER MYOTOMY AND PARTIAL EPIPHRENIC DIVERTICULECTOMY INTRAOPERATIVE CHALLENGES AND CLINICAL OUTCOMES
Peijun Zhao
2, Austin Zhu
*2, Farzaneh Banki
11Cardiothoracic and Vascular Surgery, University of Texas Health Science Center, Memorial Hermann Southeast Esophageal Disease Center, Houston, TX; 2The University of Texas Health Science Center at Houston John P and Katherine G McGovern Medical School, Houston, TX
Introduction: In patients with a large epiphrenic diverticulum, symptomatic relief may be achieved with Heller myotomy and partial diverticulectomy.
Methods: A 65-year-old male patient with 7 years of dysphagia, regurgitation, and nocturnal cough was diagnosed with esophageal dysmotility and a 10.5 x 10.8 cm epiphrenic diverticulum. He underwent laparoscopic Heller myotomy and partial epiphrenic diverticulectomy with Dor fundoplication.
Results: He was discharged on POD 1, tolerating full liquids, and at 3 months, was free of preoperative symptoms.
Conclusion: Heller myotomy and partial diverticulectomy can result in good symptomatic outcomes and may avoid a left thoracotomy.
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