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Outpatient endoscopic Zenker diverticulotomy.
Neil D Gross1, James I Cohen, Peter E Andersen
1Department of Otolaryngology-Head and Neck Surgery, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, PV01, Portland, OR 97201, USA.
The Laryngoscope
|February 3, 2004
Summary
Outpatient endoscopic Zenker diverticulotomy using staple-assisted techniques is safe for selected patients. This approach reduces costs and recovery time compared to open surgery, with manageable complications.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Minimally Invasive Procedures
Background:
- Endoscopic Zenker diverticulotomy offers reduced cost and recovery compared to open surgery.
- The safety and feasibility of outpatient endoscopic Zenker diverticulotomy have not been previously reported.
Purpose of the Study:
- To evaluate the feasibility and safety of outpatient endoscopic, staple-assisted Zenker diverticulotomy.
- To assess complication rates and symptom resolution in patients managed on an outpatient basis.
Main Methods:
- Retrospective cohort study of 51 patients undergoing endoscopic, staple-assisted Zenker diverticulotomy.
- Focus on 40 patients with planned outpatient management, reviewing charts for outcomes and complications.
Main Results:
- Of 40 outpatients, 8 (20%) experienced complications, including mucosal disruptions and tooth fractures.
- Most patients were discharged same-day; 3 with mucosal disruptions required inpatient observation.
Conclusions:
- Appropriately selected patients can safely undergo outpatient endoscopic, staple-assisted Zenker diverticulotomy.
- Intraoperative complications necessitate conversion to inpatient monitoring.