Journal of Minimal Access Surgery · 4 authors, 5 centres
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Six consecutive patients with symptomatic epiphrenic oesophageal diverticula underwent 3D laparoscopic diverticulectomy between 2015 and 2020 at a single centre, with all patients achieving complete symptom resolution immediately after surgery.
Pre-operative assessment included barium swallow, oesophagogastroduodenoscopy, and high-resolution manometry, with surgical planning through multidisciplinary team discussion. Median operative time was 180 minutes with median estimated blood loss under 100 ml, and no intraoperative complications or conversions to open approach occurred. Three patients developed minor Clavien-Dindo Class II complications, including hospital-acquired pneumonia and urinary retention; no major complications or oesophageal leaks were observed. Over a median follow-up of 66 months, one patient experienced a recurrence at 59 months requiring revision diverticulectomy, while five patients had none or minimal residual symptoms. All-cause mortality was 16.4%, with one death attributed to age-related conditions. The study is limited by its small sample size and single-centre design, which precludes generalisable conclusions, though the results support 3D laparoscopic diverticulectomy as a feasible option for this rare condition.
