Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum

Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to inv...
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Autor*in:	Boutron, C. [verfasserIn] Rebibo, L. [verfasserIn] Duboc, H. [verfasserIn] Antonopulos, C. [verfasserIn] Calabrese, D. [verfasserIn] Coffin, B. [verfasserIn] Msika, S. [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2023

Schlagwörter:	Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia

Übergeordnetes Werk:	Enthalten in: Journal of visceral surgery - Paris : Elsevier Masson, 2010, 160, Seite 245-252
Übergeordnetes Werk:	volume:160 ; pages:245-252

DOI / URN:	10.1016/j.jviscsurg.2023.01.003

Katalog-ID:	ELV061091405

Internformat


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245	1	0	\|a Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
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520			\|a Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms.
650		4	\|a Epiphrenic diverticulum
650		4	\|a Thoracoscopy
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650		4	\|a Achalasia
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700	1		\|a Duboc, H. \|e verfasserin \|4 aut
700	1		\|a Antonopulos, C. \|e verfasserin \|4 aut
700	1		\|a Calabrese, D. \|e verfasserin \|4 aut
700	1		\|a Coffin, B. \|e verfasserin \|4 aut
700	1		\|a Msika, S. \|e verfasserin \|4 aut
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publishDate	2023
allfields	10.1016/j.jviscsurg.2023.01.003 doi (DE-627)ELV061091405 (ELSEVIER)S1878-7886(23)00005-X DE-627 ger DE-627 rda eng 610 VZ 44.87 bkl Boutron, C. verfasserin aut Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms. Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia Rebibo, L. verfasserin aut Duboc, H. verfasserin aut Antonopulos, C. verfasserin aut Calabrese, D. verfasserin aut Coffin, B. verfasserin aut Msika, S. verfasserin aut Enthalten in Journal of visceral surgery Paris : Elsevier Masson, 2010 160, Seite 245-252 Online-Ressource (DE-627)624826627 (DE-600)2550451-4 (DE-576)322763886 1878-7886 nnns volume:160 pages:245-252 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 Gastroenterologie VZ AR 160 245-252
spelling	10.1016/j.jviscsurg.2023.01.003 doi (DE-627)ELV061091405 (ELSEVIER)S1878-7886(23)00005-X DE-627 ger DE-627 rda eng 610 VZ 44.87 bkl Boutron, C. verfasserin aut Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms. Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia Rebibo, L. verfasserin aut Duboc, H. verfasserin aut Antonopulos, C. verfasserin aut Calabrese, D. verfasserin aut Coffin, B. verfasserin aut Msika, S. verfasserin aut Enthalten in Journal of visceral surgery Paris : Elsevier Masson, 2010 160, Seite 245-252 Online-Ressource (DE-627)624826627 (DE-600)2550451-4 (DE-576)322763886 1878-7886 nnns volume:160 pages:245-252 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 Gastroenterologie VZ AR 160 245-252
allfields_unstemmed	10.1016/j.jviscsurg.2023.01.003 doi (DE-627)ELV061091405 (ELSEVIER)S1878-7886(23)00005-X DE-627 ger DE-627 rda eng 610 VZ 44.87 bkl Boutron, C. verfasserin aut Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms. Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia Rebibo, L. verfasserin aut Duboc, H. verfasserin aut Antonopulos, C. verfasserin aut Calabrese, D. verfasserin aut Coffin, B. verfasserin aut Msika, S. verfasserin aut Enthalten in Journal of visceral surgery Paris : Elsevier Masson, 2010 160, Seite 245-252 Online-Ressource (DE-627)624826627 (DE-600)2550451-4 (DE-576)322763886 1878-7886 nnns volume:160 pages:245-252 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 Gastroenterologie VZ AR 160 245-252
allfieldsGer	10.1016/j.jviscsurg.2023.01.003 doi (DE-627)ELV061091405 (ELSEVIER)S1878-7886(23)00005-X DE-627 ger DE-627 rda eng 610 VZ 44.87 bkl Boutron, C. verfasserin aut Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms. Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia Rebibo, L. verfasserin aut Duboc, H. verfasserin aut Antonopulos, C. verfasserin aut Calabrese, D. verfasserin aut Coffin, B. verfasserin aut Msika, S. verfasserin aut Enthalten in Journal of visceral surgery Paris : Elsevier Masson, 2010 160, Seite 245-252 Online-Ressource (DE-627)624826627 (DE-600)2550451-4 (DE-576)322763886 1878-7886 nnns volume:160 pages:245-252 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 Gastroenterologie VZ AR 160 245-252
allfieldsSound	10.1016/j.jviscsurg.2023.01.003 doi (DE-627)ELV061091405 (ELSEVIER)S1878-7886(23)00005-X DE-627 ger DE-627 rda eng 610 VZ 44.87 bkl Boutron, C. verfasserin aut Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum 2023 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms. Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia Rebibo, L. verfasserin aut Duboc, H. verfasserin aut Antonopulos, C. verfasserin aut Calabrese, D. verfasserin aut Coffin, B. verfasserin aut Msika, S. verfasserin aut Enthalten in Journal of visceral surgery Paris : Elsevier Masson, 2010 160, Seite 245-252 Online-Ressource (DE-627)624826627 (DE-600)2550451-4 (DE-576)322763886 1878-7886 nnns volume:160 pages:245-252 GBV_USEFLAG_U GBV_ELV SYSFLAG_U SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 Gastroenterologie VZ AR 160 245-252
language	English
source	Enthalten in Journal of visceral surgery 160, Seite 245-252 volume:160 pages:245-252
sourceStr	Enthalten in Journal of visceral surgery 160, Seite 245-252 volume:160 pages:245-252
format_phy_str_mv	Article
bklname	Gastroenterologie
institution	findex.gbv.de
topic_facet	Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia
dewey-raw	610
isfreeaccess_bool	false
container_title	Journal of visceral surgery
authorswithroles_txt_mv	Boutron, C. @@aut@@ Rebibo, L. @@aut@@ Duboc, H. @@aut@@ Antonopulos, C. @@aut@@ Calabrese, D. @@aut@@ Coffin, B. @@aut@@ Msika, S. @@aut@@
publishDateDaySort_date	2023-01-01T00:00:00Z
hierarchy_top_id	624826627
dewey-sort	3610
id	ELV061091405
language_de	englisch
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In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. 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author	Boutron, C.
spellingShingle	Boutron, C. ddc 610 bkl 44.87 misc Epiphrenic diverticulum misc Thoracoscopy misc Esophagus misc Achalasia Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
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topic_title	610 VZ 44.87 bkl Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum Epiphrenic diverticulum Thoracoscopy Esophagus Achalasia
topic	ddc 610 bkl 44.87 misc Epiphrenic diverticulum misc Thoracoscopy misc Esophagus misc Achalasia
topic_unstemmed	ddc 610 bkl 44.87 misc Epiphrenic diverticulum misc Thoracoscopy misc Esophagus misc Achalasia
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title	Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
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title_full	Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
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author_browse	Boutron, C. Rebibo, L. Duboc, H. Antonopulos, C. Calabrese, D. Coffin, B. Msika, S.
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doi_str_mv	10.1016/j.jviscsurg.2023.01.003
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title_sort	thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
title_auth	Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
abstract	Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms.
abstractGer	Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms.
abstract_unstemmed	Background: Management of diverticulum of the lower esophagus or epiphrenic diverticulum can be performed using the abdominal or thoracic approach. In some cases, the thoracic approach is preferred, but few studies have described thoracoscopic resection. The objective of the present study was to investigate the thoracoscopic approach for management of epiphrenic esophageal diverticulum.Material and methods: From 2008 to 2018, all patients undergoing surgery for epiphrenic esophageal diverticulum by the thoracoscopic approach were included in this single-center, retrospective, observational study. Data on diverticulum, surgery and follow-up were assessed.Results: During the study period, 14 patients underwent surgery. Two patients had two diverticula. The mean location of the superior edge of the diverticulum was 7cm (2–14cm) above the gastro-esophageal junction. The mean size of the diverticulum was 39 millimeters (20–60). Thoracoscopic approach was used in all patients. No conversion to thoracotomy was required. Mean operative time was 168min (120–240). No postoperative mortality occurred. The overall complication rate was 40% (6 complications out of 15 resections), with three major complications including leaks (n =2) and a case of bronchoesophageal fistula (n =1). Median length of hospital stay was 12 days (8–40).Conclusion: Thoracoscopic approach as management of epiphrenic diverticulum is feasible, with acceptable short-term morbidity. The thoracoscopic approach is also effective in resolving preoperative symptoms.
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title_short	Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum
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author2	Rebibo, L. Duboc, H. Antonopulos, C. Calabrese, D. Coffin, B. Msika, S.
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up_date	2024-07-06T17:12:30.931Z
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Thoracoscopic approach as surgical management of esophageal epiphrenic diverticulum

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