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Updated: Jul 13, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
Published on: August 11, 2023
Robotic-Assisted Epiphrenic and Mid-Oesophageal Diverticulectomy: A Tertiary Centre Experience
Federica Cucè1, Giovanni Pallabazzer2, Mario Antonio Belluomini2
1General and Upper G.I. Surgery Division, Surgery, Dentistry, Maternity and Infant Department, University of Verona, Verona, Italy.
Background:
Surgical management of oesophageal pulsion diverticula is advised when symptoms significantly impair quality of life. Robotics can aid in transhiatal dissection in diverticulectomy, but available evidence is limited.
Methods:
A retrospective chart review of all consecutive robotic-assisted oesophageal diverticulectomies with Heller myotomy and Dor fundoplication at a high-volume centre between 2015 and 2024 was conducted. Surgical technique, patient characteristics, and short- and long-term outcomes were recorded. As this was an observational study with anonymised data, ethical approval was waived.
Results:
4/14 patients required abdominal and intrathoracic approaches, and none were converted to open surgery. Trocar-related abdominal wall bleeding required reintervention; mortality was zero. No leaks or strictures were noted; all reported symptom relief, one reflux and two dysphagia recurrences without strictures or recurrences.
Conclusions:
Robotic-assisted diverticulectomy performed by experienced surgeons appears feasible and associated with acceptable short-term outcomes. Further prospective studies are needed to confirm long-term safety and efficacy.

