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Open Zenker's diverticulectomy using stapling techniques.
1Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary and Harvard Medical School, Boston 02114, USA. nicolas_busaba@meei.harvard.edu
The Annals of Otology, Rhinology, and Laryngology
|June 16, 2001
Summary
Zenker
Area of Science:
- Gastroenterology
- Surgical Innovation
- Otolaryngology
Background:
- Zenker's diverticulum presents a surgical challenge.
- Traditional closure methods can be time-consuming.
- Minimally invasive techniques are sought for improved patient outcomes.
Purpose of the Study:
- To evaluate the safety and efficacy of nonabsorbable staples for pharyngeal closure after Zenker's diverticulectomy.
- To assess the impact of this technique on operative time and patient recovery.
Main Methods:
- Prospective review of 9 male patients undergoing Zenker's diverticulectomy with stapled pharyngeal closure and cricopharyngeal myotomy.
- Diagnosis confirmed via barium swallow esophagram.
- Open neck surgical approach utilized.
Main Results:
- Mean operative time was 1.5 hours with minimal blood loss (25 mL).
- Postoperative esophagrams showed no pharyngeal fistulas.
- All patients tolerated oral feeding by postoperative day 1, with early discharge.
Conclusions:
- Nonabsorbable stapling is a safe and effective method for pharyngeal defect closure post-Zenker's diverticulectomy.
- This technique reduces operative time and hospital stay.
- Early oral feeding is feasible, improving patient recovery.