Guest guest Posted December 9, 2005 Report Share Posted December 9, 2005 Hi Kathie... I am glad to hear that.. I just hope when I post the Jama articles that it benefits someone.! Carolyn --- zekenoahme <kgasior2@...> wrote: > For what it is worth ... Dr. Luketich is my surgeon and he > really did wonderful for me. > Kathie in Pittsburgh > > > > > > Ann Thorac Surg 2005;80:2076-2080 > > © 2005 The Society of Thoracic Surgeons > > > > --------------------------------- > > Original article: General thoracic Minimally Invasive Operation > for Esophageal Diverticula Hiran C. , MD * , D. > Luketich, MD, Samphire, MD, Alvelo-, MD, Neil A. > Christie, MD, Percival O. Buenaventura, MD, Rodney J. Landreneau, > MD Division of Thoracic and Foregut Surgery, University of > Pittsburgh Medical Center, Pittsburgh, Pennsylvania Accepted for > publication June 3, 2005. * Address correspondence to Dr , > Cardiothoracic Surgery, Boston Medical Center, 88 East Newton Street, > B402, Boston, MA 02118 (Email: hiran.fernando@b... ' + u > + '@' + d + ''//--> ). > > BACKGROUND: Mid and lower esophageal diverticula are rare > entities usually managed by open operation. Morbidity can be > significant with these complex procedures. This study evaluates our > results of minimally invasive surgery for esophageal diverticula. > METHODS: Over a 5-year period, 20 patients underwent operation for > esophageal diverticula. Median age was 70.5 years. There were 16 > epiphrenic and 4 midesophageal diverticula with a median size of 7.5 > cm (range, 2-11 cm). Symptoms included dysphagia (14), regurgitation > (12), weight loss (8), heartburn (4), aspiration pneumonia (3), chest > pain (2), and vomiting (2). Dysphagia scores (1 = none, 5 = severe) > were recorded before and after operation. RESULTS: Surgical > approaches were laparoscopy (10), video-assisted thoracic surgery > (VATS) (7), laparoscopic/VATS (2), and laparoscopic/thoracotomy (1). > The most common operation performed was a diverticulectomy, myotomy, > and partial fundoplication (12). Complications occurred in 9 (45%) > > patients and included 4 (20%) esophageal leaks. Three leak > patients had successful outcomes; the fourth patient died 61 days > after operation. Median hospital stay was 5.0 (1–61) days. Detailed > follow-up was available in 18 patients at a median of 15 (1–70) > months. Dysphagia scores improved significantly (p < 0.001) from 2.3 > to 1.3 postoperatively. Symptomatic improvement was excellent in 13 > (72%), good in 2 (11%), fair in 1 (6%), and poor in 2 (11%) > patients. CONCLUSIONS: Minimally invasive operations for esophageal > diverticula are feasible but also challenging. The potential for > morbidity is significant. Patients should be selected and evaluated > carefully before undertaking repair. Open surgery should remain the > standard except in centers experienced with minimally invasive > esophageal surgery. > > > > > > > > > > > > Wooleeacre Productions > > Custom Screenprinting > > on a small scale! > > > > > > > > > > > > > > > > --------------------------------- > > > > Find Great Deals on Gifts at > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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