418. A TALE OF SIXTEEN ESOPHAGEAL DUPLICATION CYSTS AND ITS MANAGEMENT STRATEGIES

Abstract Background Esophageal duplication cysts are rare entities with a spectrum of clinical presentation. Adults usually asymptomatic. Surgical management is preferred. We present our experience 16 esophageal cysts. Methods A retrospective cohort analysis all cyst patients was performed at centre from January 2012 to December 2022. Variables collected include patient demographics, operative techniques, morbidity and mortality. Study data using electronic medical records follow-up taken physically or telephonically. total were identified, out which 81.25% (13) underwent surgical excision, 6.25% (1) endoscopic aspiration 12.5% (2) conserved expectant due co-morbidities. Results Out patients, 50% (8) in the lower esophagus, 37.5% (6) mid third esophagus upper esophagus. The population composed 75% (12) males 25% (4) females, mean age 47.5 years (27–76). symptomatic; common symptoms included chest pain/discomfort, breathlessness, coughing. size 6.4 cm (range: 3-10 cm). surgery 62.5% (10) VATS/Robotic 18.75% (3) thoracotomy. hospital stay 4 days 2–10 days). Two (15.4%) developed Clavein-Dindo grade III complication, for pigtail insertion done. most histopathology found ciliated columnar epithelium 61.5% patients. Conclusion remain adults frequently located distal Various techniques may successfully be employed treatment this pathology. Minimally invasive procedures have shorter stay.