The purpose of this study is to review our initial experience with a minimally invasive approach to manage symptomatic @entity23089 . Five @entity1 with symptomatic @entity23089 underwent surgical management between August 1997 and December 2002. All @entity1 complained of @entity1282 ; had experienced symptoms for at least 12 months; and were evaluated preoperatively by a barium esophagram, esophagogastroduodenoscopy, and esophageal manometry. The @entity23089 measured 5 cm or less in all @entity1 . Manometry demonstrated @entity4423 in three @entity1 . A minimally invasive technique was completed in all five @entity1 . Four @entity1 underwent laparoscopic diverticulectomy and myotomy including a concomitant Toupet fundoplication, and one @entity1 underwent thoracoscopic diverticulectomy and myotomy. The mean operative time was 245 minutes (range 175-334). The longest operative time was for the thoracoscopic procedure. The estimated @entity190 was minimal (range 30-100 cm3). The laparoscopic @entity1 had a mean postoperative length of stay of 2.75 days (range 2-4) and the @entity1 undergoing a thoracoscopic approach was discharged on postoperative day 6 due to a history of @entity358 and home @entity26 requirements. There were no other @entity260 . After a mean follow-up of 16.2 months (range 3-36) all @entity1 are asymptomatic. Short-term follow-up after our initial experience with minimally invasive approaches for @entity23089 demonstrates that thoracoscopic and laparoscopic approaches are feasible; safe; and effectively alleviate @entity1282 , regurgitation, and other associated symptoms. Long-term outcomes should be monitored during the evolution of these novel minimally invasive techniques to ensure outcomes comparable to those of a transthoracic open approach.

Minimally invasive management of XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity190 :: ('MESH:D006473', 'Disease') :: ['blood loss'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity23089 :: ('MESH:D004936', 'Disease') :: ['epiphrenic esophageal diverticula'] @entity260 :: ('MESH:D011183', 'Disease') :: ['postoperative complications'] @entity358 :: ('MESH:D008171', 'Disease') :: ['lung disease'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity4423 :: ('MESH:D015154', 'Disease') :: ['esophageal dysmotility']
@entity23089 :: (MESH:D004936,Disease) :: ['epiphrenic esophageal diverticula']
