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- W4200191036 abstract "Abstract Background Oesophageal epiphrenic diverticulum’s are rare; reported in less than 0.5 per cent of the population. They are noted however in 1–3 per cent of patients complaining of dysphagia. They are almost always associated with a motility disorder of the oesophagus. Surgery is generally the only solution to help with the symptoms of dysphagia and reflux. Methods This video highlights a case of a moderate sized diverticulum causing dysphagia and significant reflux. The procedure was performed on the DaVinci X system; to my knowledge, this is the first time this technique has been performed on the DaVinci X in the UK. A 4 arm technique was used, utilising two right arms and one left. Instruments used were cadiere forceps, hook and sureform stapler. The 12 mm port was docked with arm 3 and sited on the patients left. A stapled diverticulectomy was performed with the Sureform blue cartridge. An endoflex was used to retract the liver. Results The procedure was successfully performed in 150 minutes and involved resection of the diverticulum, hiatal repair and short myotomy up to the neck of the diverticulum. Conclusion The robotic platform allows for better visualisation of the hiatal structures and vagal nerves and the enhanced magnification make for a safer myotomy. The articulating instruments permit safer dissection of the diverticulum. A 4 arm technique makes the myotomy easier and safer to perform." @default.
- W4200191036 created "2021-12-31" @default.
- W4200191036 creator A5079597409 @default.
- W4200191036 date "2021-12-01" @default.
- W4200191036 modified "2023-09-23" @default.
- W4200191036 title "V-OG03 Robotic Epiphrenic Diverticulectomy, Myotomy And Hiatus Hernia Repair" @default.
- W4200191036 doi "https://doi.org/10.1093/bjs/znab428.002" @default.
- W4200191036 hasPublicationYear "2021" @default.
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