000			02908nam a22003617a 4500
008			190118s20192019 xxu||||| |||| 00| 0 eng d
022			_a1092-6429
024			_a10.1089/lap.2018.0711 [doi]
040			_aOvid MEDLINE(R)
099			_a30620240
245			_aEvolving Options in Management of Minimally Invasive Diverticular Disease: A Single Surgeon's Experience and Review of the Literature.
251			_aJournal of Laparoendoscopic & Advanced Surgical Techniques. Part A. 2019 Jan 08
252			_aJ Laparoendosc Adv Surg Tech A. 2019 Jan 08
253			_aJournal of laparoendoscopic & advanced surgical techniques. Part A
260			_c2019
260			_fFY2019
265			_saheadofprint
266			_d2019-01-18
501			_aAvailable online through MWHC library: 2000 - 2010, Available in print through MWHC library:1999-2007
520			_aBACKGROUND: Esophageal thoracic diverticular disease is a rare condition resulting from multiple etiologies. Surgical management is recommended when symptomatic. Traditionally, a thoracotomy was considered the standard approach; however, the use of minimally invasive approaches has been associated with improved outcomes.
520			_aCONCLUSIONS: In experienced hands, a minimally invasive diverticulectomy is safe, effective, and associated with excellent patient outcomes. A minimally invasive approach should be performed when possible and should be tailored to the individual patient's disease and preoperative workup.
520			_aMETHODS: We retrospectively reviewed a single surgeon's experience with minimally invasive esophageal diverticulectomy.
520			_aRESULTS: Fifteen patients with symptomatic esophageal diverticular disease underwent minimally invasive diverticulectomy between 2005 and 2018. Most patients (86.7%) had epiphrenic diverticula and 53.3% underwent a video-assisted thoracoscopic surgery approach. All patients had a diverticulectomy, while 14 patients (93.3%) also had an esophageal myotomy. Three patients (20%) underwent an extended myotomy, 4 patients (26.7%) underwent a concomitant fundoplication, and 2 patients (13.3%) underwent a concomitant paraesophageal hernia repair. Median length of hospital stay was 2 days (range, 1-16 days). There were no mortalities. Two patients (13.3%) were readmitted with delayed esophageal leaks. Median follow- up was 10.7 months (range, 10 days to 6.3 years). One patient presented with recurrent disease 5 years after his initial operation.
546			_aEnglish
650			_aIN PROCESS -- NOT YET INDEXED
651			_aMedStar Washington Hospital Center
656			_aSurgery/Thoracic Surgery
657			_aJournal Article
700			_aCaso, Raul
790			_aCaso R, Chang H, Marshall MB
856			_uhttps://dx.doi.org/10.1089/lap.2018.0711 _zhttps://dx.doi.org/10.1089/lap.2018.0711
942			_cART _dArticle
999			_c4004 _d4004