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Laparoscopic resection of gastric diverticulum
1Department of Surgery, Korea University Ansan Hospital, Kyung Gi Do, Korea. drkimsh@chollian.net
Summary
Laparoscopic resection of gastric diverticulum is a rare but effective procedure. This case report details a successful laparoscopic removal of a symptomatic gastric diverticulum using an endoscopic stapler.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
Background:
- Gastric diverticulum is a rare condition often presenting with non-specific symptoms.
- Surgical intervention is typically reserved for symptomatic cases.
Observation:
- A 59-year-old female presented with indigestion and epigastric pain.
- Imaging revealed a 3x2 cm gastric diverticulum with impacted food residue.
- Intraoperative gastroscopy confirmed the diverticulum's location.
Findings:
- The gastric diverticulum was successfully resected laparoscopically using a 5-cannula technique and an endoscopic linear stapler.
- Pathologic examination showed chronic superficial gastritis.
- The patient experienced an uncomplicated postoperative recovery, discharged on day five.
Implications:
- Laparoscopic resection with an endoscopic stapler is a viable option for gastric diverticulum.
- This approach may offer advantages for select patients with symptomatic gastric diverticula.
- Further research could explore the long-term outcomes of this minimally invasive technique.