ABSTRACT
Gastric diverticula are rare disorders which present usually with vague upper abdominal symptoms. The diagnosis is based on endoscopic and radiologic findings, but it may remain uncertain until the operation. Herein we report the case of a 46-year-old woman with a diverticulum of the posterior aspect of the upper part of the gastric fundus, referred to our attention for epigastric pain. The preoperative work out evidenced a pouch of the gastric fundus which was misinterpreted as a paraesophageal or a diaphragmatic hernia. The operation was performed by laparoscopy with a 4-port technique and the diverticulum was resected by an endoscopic stapler. The patient is well and symptom-free more than two months after the operation.
Subject(s)
Diverticulum, Stomach/surgery , Laparoscopy/methods , Aged , Female , Humans , Middle AgedSubject(s)
Bariatric Surgery/methods , Metabolic Syndrome/surgery , Obesity, Morbid/surgery , Adolescent , Adult , Animal Experimentation , Animals , Biliopancreatic Diversion , Body Mass Index , Child, Preschool , Clinical Trials as Topic , Consensus , Diabetes Mellitus, Type 2 , Female , Follow-Up Studies , Gastric Bypass , Gastroplasty , Humans , Hypercholesterolemia , Hypertriglyceridemia , Male , Obesity, Morbid/epidemiology , Prevalence , Rats , Time Factors , Treatment OutcomeABSTRACT
We illustrate our experience with a new class of instruments, the mechanical manipulators (MM), whose main features are an improved mobility, and ergonomy and a modular structure. A specific MM, the Radius Surgical System (RADIUS), has been used both for educational purposes as well as in clinical studies, demonstrating that it can represent an efficient tool to support surgeons performing surgical complex procedures, with a short learning curve for the postural attitude.
