XXXX : A 15-Year Experience of Minimally Invasive Surgical Management.

@entity1 @entity1282 @entity23089 @entity1319
BACKGROUND: @entity23089 are uncommon, and controversies exist regarding their management. The objective of this study was to evaluate the outcomes of a relatively large cohort of @entity1 with @entity23089 treated with minimally invasive surgical techniques. METHODS: We conducted a retrospective review of @entity1 who underwent minimally invasive surgical treatment for symptomatic esophageal diverticula during a 15-year period. The primary end point was 30-day mortality. In addition, we evaluated the morbidity, improvement in @entity1282 (score: 1, best to 5, worst), and quality of life (Gastroesophageal Reflux Disease-Health-Related Quality of Life score: 0, best to 50, most symptoms). RESULTS: Fifty-seven @entity1 underwent minimally invasive surgical treatment of symptomatic @entity23089 . The most common symptom was @entity1282 (45 of 57; 79%). A @entity1319 or distal mechanical obstruction was identified in 49 @entity1 (86%). Approaches used included video-assisted thoracoscopic surgery (n = 33), laparoscopy (n = 18), and combined video-assisted thoracoscopic surgery and laparoscopy (n = 6). The most common procedure performed was diverticulectomy and myotomy (47 of 57 @entity1 ; 82.5%). The 30-day mortality was 0%. There were 4 @entity1 (7%) with postoperative leaks requiring reoperation. During follow-up, the median @entity1282 score improved from 3 to 1 (p < 0.001). The median Gastroesophageal Reflux Disease-Health-Related Quality of Life score after surgery was 5 (excellent). CONCLUSIONS: A minimally invasive surgical approach for the management of @entity23089 is safe and effective during intermediate-term follow-up when performed by surgeons experienced in esophageal surgery and minimally invasive techniques. Further follow-up is required to assess the durability of these results. The optimal approach and procedures performed should be determined on an individualized basis after a thorough investigation.
