TITLE:
Robotic Surgery: An Effective Treatment Option for Epiphrenic Diverticulum Associated with Nutcracker Esophagus
AUTHORS:
Augusto Tinoco, Gilberto Carvalho, Leonardo Tinoco, Ana Paula Quintão
KEYWORDS:
Robotic Surgery, Myotomy, Nutcracker Esophagus, Epiphrenic Diverticulum
JOURNAL NAME:
Surgical Science,
Vol.15 No.1,
January
16,
2024
ABSTRACT: Background: Epiphrenic Diverticulum is frequently
associated with esophageal motility
disorders, such as nutcrackers esophagus. The diagnosis is usually made
using imaging studies such as a Barium esophagogram, and esophageal manometry.
Surgical treatment options for epiphrenic diverticulum and EN include diverticulectomy and wide myotomy. Aim:
The resection of three epiphrenic diverticula and extensive myotomy were
performed by robotic thoracoscopy uneventfully. Case presentation: A
65-year-old female complaining of dysphagia for solid foods, Chest pain and
regurgitation. Esophagogastroduodenoscopy
(EDG) with difficulty in advancing the endoscope at 25 cm and demonstrating an
ED, no hiatal hernia and normal stomach and duodenum. Barium
Esophagogram showed multiple diverticula and tortuosity throughout the
esophagus. Conclusion: With robotic surgery, surgeons can perform highly
precise operations with enhanced 3D vision and control. Through this
cutting-edge approach, the treatment of ED associated with EN can be
drastically changed, promising better outcomes for patients.