Robotic-Assisted Laparoscopic Repair of Epiphrenic Diverticulum
Nguyen M. Le, MD, Paul C. Lee, MD, MPH.
Northwell Healh, New Hyde Park, NY, USA.
Robotic-Assisted Laparoscopic Repair of Epiphrenic Diverticulum
Objective
This video demonstrates a robotic-assisted laparoscopic repair of an epiphrenic diverticulum with an esophagogastric myotomy and Toupet fundoplication.
Methods
A 68-year-old male presented with dysphagia and pain with liquids and solids. Esophagogastroduodenoscopy revealed an epiphrenic diverticulum at 40cm and a small hiatal hernia. The procedure was performed with the patient supine. Six ports were used – four for the robot, one for a liver retractor and one access port. A robotic-assisted laparoscopic repair of an epiphrenic diverticulum with an esophagogastric myotomy and Toupet fundoplication.
Results
Final pathology was squamous mucosa and submucosa consistent with an epiphrenic diverticulum. Barium swallow on POD3 revealed no leak and prompt transition of contrast. The patient was started on clears. On POD4 the patient was discharged home on clears and advanced to pureed diet the next day. On three month follow up, the patient was tolerating regular diet without difficulty.
Conclusion
Robotic-assisted laparoscopic repair of epiphrenic diverticulum is safe and feasible.
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