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Related Experiment Video

Updated: Jun 19, 2026

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia
09:46

Robotic Heller Myotomy for Advancements in Surgical Management of Achalasia

Published on: February 16, 2024

Epiphrenic diverticulum: robotic-assisted transhiatal approach.

Almudena Moreno Elola-Olaso1, Timothy Wm Mullett, Raymond J Gagliardi

  • 1Division of General Surgery, Department of Surgery, University of Kentucky Medical Center, Lexington, KY 40536-0298, USA. morenoalmudena@hotmail.com

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|October 24, 2009
PubMed
Summary

Robotic-assisted transhiatal diverticulectomy offers a potential solution for difficult dissections in epiphrenic diverticulum surgery. This approach may help reduce postoperative complications associated with this condition.

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Epiphrenic diverticulum surgery is associated with high postoperative morbidity.
  • Dissecting the proximal portion of the diverticulum can be challenging, even with minimally invasive techniques.

Observation:

  • Two cases of robotic-assisted (RA) transhiatal diverticulectomy are presented.
  • Case 1 involved a 73-year-old female with multiple esophageal diverticula and a hiatal hernia, requiring a limited thoracotomy due to adhesions. She experienced a mild esophageal leak, managed conservatively.
  • Case 2 involved a 63-year-old male with a large epiphrenic diverticulum, successfully resected via RA transhiatal approach with uneventful recovery.

Findings:

  • Robotic assistance may facilitate dissection of the proximal diverticulum.

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Last Updated: Jun 19, 2026

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Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy
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  • The RA transhiatal approach was feasible for epiphrenic diverticulum resection in these cases.

    • Implications:

    • Robotic-assisted transhiatal diverticulectomy shows promise in simplifying complex dissections.
    • This technique might lead to reduced postoperative morbidity in patients with epiphrenic diverticulum.