Benedict Hui, MD, Geoffrey Chow, MD. University of Oklahoma – Tulsa
We are presenting a laparoscopic esophageal diverticulectomy with Heller myotomy and Toupet fundoplication. The patient is a 51 year old male with 10 year history of achalasia previously treated with endoscopic dilation. He presented with worsening dysphagia, chest pain, and regurgitation of undigested food. We started by dissecting out the hiatus, followed by taking down the short gastrics and dissecting out the hiatal hernia sac and esophageal diverticulum. We then proceeded with the Heller myotomy. The diverticulum was then taken with the laparoscopic stapler and perfusion was examined with the laparoscopic near infrared camera using indocyanine green. The crura was then closed and we concluded with a Toupet fundoplication. The patient did well and had relief of his symptoms and an Eckhardt score of 0 on follow up.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 95780
Program Number: V355
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop