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Published on: April 17, 2020
Stapled diverticulectomy and myotomy for symptomatic Zenker's diverticulum
Thomas R McLean1, Chris C Haller
1Department of Surgery, EKVAHCS, 4104 S Fourth Street Trafficway, Leavenworth, KS 66048, USA. Thomas.McLean@med.va.gov
Stapled diverticulectomy and cricopharyngeal myotomy (SDM) for Zenker's diverticulum (ZD) is a safe and effective procedure. This surgical approach is easily taught to surgical residents, even with limited surgeon experience.
Area of Science:
- Gastroenterology
- Surgical Education
Background:
- Zenker's diverticulum (ZD) management requires specialized surgical expertise, which is not widely available.
- Limited surgeon experience in operative ZD management poses a challenge.
Purpose of the Study:
- To evaluate the safety and efficacy of stapled diverticulectomy and cricopharyngeal myotomy (SDM) for Zenker's diverticulum.
- To assess the teachability of the SDM procedure to surgical residents.
Main Methods:
- Retrospective review of patients undergoing SDM for ZD.
- Procedures performed by surgery residents under expert supervision.
- No surgical drains used; early diet advancement was implemented.
Main Results:
- Three elderly patients (mean age 81) with multiple comorbidities underwent SDM.
- Rapid discharge (under 48 hours) for most patients.
- No deaths or clinical leaks; long-term symptom relief in 2 of 3 patients.
Conclusions:
- Stapled diverticulectomy and cricopharyngeal myotomy (SDM) is a safe and effective surgical option for Zenker's diverticulum.
- The SDM procedure is readily teachable to surgical residents, enhancing ZD treatment accessibility.
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