Abstract
BackgroundWe present single-center experience of surgery for primary epiphrenic diverticulum (PED) over a 12-year period. MethodsProspectively maintained database was queried to identify patients who underwent PED surgery. Preoperative and postoperative symptoms, operative data, perioperative complications, and follow-up were reviewed. ResultsTwenty-seven patients (14 females; mean age–67-years) underwent PED surgery. The most common primary presenting symptoms were dysphagia and regurgitation (mean duration–3.6-years). 82% patients underwent laparoscopic procedures (one conversion), 11% operated via left thoracotomy and 7% via combined laparoscopy–right trans-thoracic approach. All patients received myotomy, all but one received diverticulectomy. Five-patients experienced intraoperative complications that were managed intraoperatively without sequelae. There was no perioperative mortality. Morbidity was seen in 3-patients, including one staple-line leak managed with endoscopic washes and stent placement. 90% patients with ≥1-year follow-up reported “excellent” satisfaction. ConclusionsMinimally invasive surgery for PED is both feasible and safe. We observed low morbidity, short hospital stay, and excellent patient-reported outcomes.
Published Version
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