Uniportal Video-Assisted Thoracoscopic Surgery Resection of a Giant Midesophageal Diverticulum Francesco Paolo Caronia, MD, Alfonso Fiorelli, MD, PhD, Mario Santini, MD, Attilio Ignazio Lo Monte, MD The Annals of Thoracic Surgery Volume 103, Issue 4, Pages e365-e367 (April 2017) DOI: 10.1016/j.athoracsur.2016.09.054 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
Fig 1 (A) Roentgenographic view of barium swallow showing a 7-cm mid-esophageal diverticulum. (B) Placement of patient in right decubitus position with surgeon and assistant standing posteriorly to him. (C) Insertion of instruments and the camera parallel but with different angulations through the same incision (insert). The Annals of Thoracic Surgery 2017 103, e365-e367DOI: (10.1016/j.athoracsur.2016.09.054) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions
Fig 2 Main steps of the procedure. (A) Identification of neck of diverticulum. (B) Extramucosal myotomy. (C) Staple line parallel to longitudinal axis of esophagus; camera and instruments through the port (insert). (D) Fundoplication; drainage through the incision (insert). The Annals of Thoracic Surgery 2017 103, e365-e367DOI: (10.1016/j.athoracsur.2016.09.054) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions