A rare case of giant epiphrenic diverticulum

Epiphrenic diverticulum is a type of pulsion diverticulum and are often asymptomatic and small in size. Symptomatic large epiphrenic dicverticulum has very low prevalence. We present a very rare case of giant oesophageal epiphrenic diverticulum of around 9 cm in size. Open thoracotomy or thorascopic procedure is generally require for the treatment. But with the help of robotic surgery, even very large epiphrenic can be excised transhiataly with good and early postoperative recovery. The robotic system has an advantage of better visualization and better degree of movement which help in the ease of dissection of the diverticulum. Large epiphrenic diverticulum in upper part of the lower oesophagus can be dissected and excised easily transhiatally avoiding thoracotomy-associated morbidity.