The goal of this article is to illustrate the current minimal invasive approaches to patients with epiphrenic diverticulum in terms of preoperative evaluation, surgical technique, and outcomes. Two techniques will be presented: a laparoscopic and a video-assisted thoracic repair. Indications for each technique will be discussed as well as proper patient selection and management. Current controversies in the treatment of patients with this rare disease will be addressed.
ZaninottoG, PariseP, SalvadorR, CostantiniM, ZanattaL, RellaA, AnconaE. Laparascopic repair of epiphrenic diverticulum. Sem Thorac Cardiovasc Surg, 2012; 24:218–222.
3.
AllaixME, Borraez SeguraBA, HerbellaFA, FisichellaPM, PattiMG. Is Resection of an esophageal epiphrenic diverticulum always necessary in the settings of achalasia?. World J Surg, 2015; 39:203–207.
4.
SoaresR, HerbellaFA, PrachandVN, FergusonMK, PattiMG. Epiphrenic diverticulum of the esophagus. From pathophysiology to treatment. J Gastrointest Surg, 2010; 14:2009–2015.
5.
LaiST, HsuCP. Carcinoma arising from an epiphrenic diverticulum: A frequently misdiagnosed disease. Ann Thorac Cardiovasc Surg, 2007; 13:110–113.
6.
FisichellaPM. Laparascopic repair of epiphrenic diverticulum. Sem Thorac Cardiovasc Surg, 2012; 24:223–228.
7.
NehraD, LordRV, DeMeesterTR, TheisenJ, PetersJH, CrookesPF, BremnerCG. Physiologic basis for the treatment of epiphrenic diverticulum. Ann Surg, 2002; 235:346–354.
8.
TedescoP, FisichellaPM, WayLW, PattiMG. Cause and treatment of epiphrenic diverticula. Am J Surg, 2005; 190:902–905.
9.
MelmanL, QuinlanJ, RobertsonB, BruntLM, HalpinVJ, EagonJC, FrisellaMM, MatthewsBD. Esophageal manometric characteristics and outcomes for laparoscopic esophageal diverticulectomy, myotomy, and partial fundoplication for epiphrenic diverticula. Surg Endosc, 2009; 23:1337–1341.
10.
FisichellaPM, PittmanM, KuoPC. Laparoscopic treatment of epiphrenic diverticula: Preoperative evaluation and surgical technique. How I do it. J Gastrointest Surg, 2011; 15:1866–1871.
11.
RosatiR, FumagalliU, ElmoreU, de PascaleS, MassaronS, PeracchiaA. Long-term results of minimally invasive surgery for symptomatic epiphrenic diverticulum. Am J Surg, 2011; 201:132–135.
12.
FernandoHC, LuketichJD, SamphireJ, Alvelo-RiveraM, ChristieNA, BuenaventuraPO, LandreneauRJ. Minimally invasive operation for esophageal diverticula. Ann Thorac Surg, 2005; 80:2076–2080.
13.
KilicA, SchuchertMJ, AwaisO, LuketichJD, LandreneauRJ. Surgical management of epiphrenic diverticula in the minimally invasive era. JSLS, 2009; 13:160–164.
14.
PeracchiaABL, RosatiR, BonaS. Thoracoscopic resection of epiphrenic esophageal diverticula. In: PetersJS, DemeesterTR (eds). Minimally Invasive Surgery of the Foregut. St. Louis: QMP, Inc., 1994, pp. 110–116.
15.
Van der PeetDL, Klinkenberg-KnolEC, BerendsFJ, CuestaMA. Epiphrenic diverticula: Minimal invasive approach and repair in five patients. Dis Esophagus, 2001; 14:60–62.
FraijiEJr, BloomstonM, CareyL, ZervosE, GoldinS, BanasiakM, et al.Laparoscopic management of symptomatic achalasia associated with epiphrenic diverticulum. Surg Endosc, 2003; 17:1600–1603.
21.
Del GenioA, RossettiG, MaffettoneV, RenziA, BruscianoL, LimongelliP, et al.Laparoscopic approach in the treatment of epiphrenic diverticula: Long-term results. Surg Endosc, 2004; 18:741–745.
22.
TedescoP, FisichellaPM, WayLW, PattiMG. Cause and treatment of epiphrenic diverticula. Am J Surg, 2005; 190:891–894.
23.
SoaresRV, MontenovoM, PellegriniCA, OelschlagerBK. Laparoscopy as the initial approach for epiphrenic diverticula. Surg Endosc, 2011; 25:3740–3746.
24.
Gonzalez-CalatayudM, TargaronaEM, BalagueC, Rodriguez-LuppiC, MartinAB, TriasM. Minimally invasive therapy for epiphrenic diverticula: Systemic review of literature and report of six cases. J Minim Access Surg, 2014; 10:169–174.
25.
YuL, WuJX, ChenXH, ZhangYF, KeJ. Laparoscopic diverticulectomy with the aid of intraoperative gastrointestinal endoscopy to treat epiphrenic diverticulum. J Minim Access Surg, 2016, doi: 10.4103/0972–9941.181391.
