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Laparoscopic approach in the treatment of epiphrenic diverticula: long-term results.

Authors :
Del Genio, A.
Rossetti, G.
Maffettone, V.
Renzi, A.
Brusciano, L.
Limongelli, P.
Cuttitta, D.
Russo, G.
Del Genio, G.
Maffetton, V
Source :
Surgical Endoscopy & Other Interventional Techniques. May2004, Vol. 18 Issue 5, p741-745. 5p. 1 Black and White Photograph, 1 Diagram, 2 Charts.
Publication Year :
2004

Abstract

<bold>Background: </bold>Thoracotomy represents the traditional surgical approach for the treatment of epiphrenic diverticula. A mini-invasive procedure has been reported in only few series. This article describes the authors experience with the laparoscopic approach for performing diverticulectomy, myotomy and Nissen-Rossetti fundoplication.<bold>Methods: </bold>From 1994 to 2002, 13 patients (6 men and 7 women), mean age 57 years (range 45-71 years), with symptomatic epiphrenic diverticulum underwent laparoscopic diverticulectomy, myotomy, and Nissen-Rossetti fundoplication.<bold>Results: </bold>The mean operative time was 145 min (range 110-180 min). No operative mortality was observed. The mean hospital stay was 13.9 days (range 7-25 years). The first three patients (23.1%) who underwent surgery experienced a partial disruption of the suture staple line. One patient (7.7%) died of a myocardial infarction. After a mean clinical follow-up period of 58 months (range 3-96 months), all the patients were symptom free.<bold>Conclusions: </bold>Laparoscopic management of epiphrenic diverticula seems to be as safe and effective as the traditional approach, although a longer follow-up period is necessary to confirm the study results. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
18666817
Volume :
18
Issue :
5
Database :
Academic Search Index
Journal :
Surgical Endoscopy & Other Interventional Techniques
Publication Type :
Academic Journal
Accession number :
13580191
Full Text :
https://doi.org/10.1007/s00464-003-9044-6