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Cirujano general
versão impressa ISSN 1405-0099
Resumo
SOTELO-ESTEVEZ, Julio César et al. Thoracic management of the esophageal diverticulum. Case report and literature review. Cir. gen [online]. 2019, vol.41, n.1, pp.54-60. Epub 02-Out-2020. ISSN 1405-0099.
Esophageal diverticula are evaginations of the esophageal wall in the form of a blind pouch that communicate with the lumen. They are rare, with a reported prevalence of 0.06%-4%, and they are usually incidental findings during endoscopic surveillance. Their peak incidence is in the fifth decade of life; they affect both men and women equally.
Case report:
Seventy-three year old female. A minimally invasive thoracic approach was performed. A blunt and sharp dissection was made, identifying an epiphrenic diverticula with a 5 cm base. The lesion was totally dissected; the resection was performed using a linear laparoscopic stapler. Total surgical time was 280 minutes, with a transoperative bleeding of 100 cm3. There were no complications and the patient was transferred to recovery without the need for ventilatory support.
Conclusion:
Laparo-endoscopic management with minimally invasive diverticulectomy and a prophylactic esophageal prosthesis is a feasible option. This approach may lower associated morbidity in high-risk patients. The possible complications of the surgical treatment should always be taken in consideration, and management of these will depend on the patient’s clinical condition and the available hospital resources.
Palavras-chave : Esophageal diverticulum; endoscopic treatment of the esophageal diverticulum; laparoscopic management.
