A complex modality of achalasia, diverticulum and paraesophageal hernia treated through three-dimensional left thoracoscopy

Eustratia Mpaili, Antonia Meropouli, Maria Mpoura, Ilias Vagios, Spyridon Davakis, Theodore Liakakos, Alexandros CharalabopoulosJournal of Minimal Access Surgery 2021 17(1):91-94Herein, we report a case of a patient with recurrent dysphagia after an open transabdominal hernia repair for a Type IV paraesophageal hernia performed elsewhere. Subsequent work-up and medical records' review revealed the coexistence of a large left epiphrenic diverticulum in combination with achalasia synchronous to the recently repaired paraesophageal hernia. A three-dimensional left thoracoscopic diverticulectomy with a long esophagomyotomy was conducted under endoscopic guidance intraoperatively, with no perioperative complications. At 12 months' follow-up evaluation, the patient presents well with no documented recurrence. Cumulative experience from various medical specialties regarding esophageal motility disorders and endoscopic state-of-the-art techniques, when combined with minimally invasive surgical techniques, provide an effective management of esophageal motility syndromes, overall.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research