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[Our experience with diverticulectomy in symptomatic Zenker's diverticulum]
M Smejkal1, P Smejkal, A Pazdro
1Chirurgische Klinik des Universitätskrankenhauses Motol. smejkal2@seznam.cz
Zentralblatt Fur Chirurgie
|December 22, 2007
Summary
Open surgery for Zenker's diverticulum (ZD) remains a reliable option, showing excellent results and a low complication rate. It is a crucial therapeutic choice for patients unsuitable for endoscopic procedures.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Endoscopic management of Zenker's diverticulum (ZD) has surged in popularity due to its high effectiveness.
- This study investigates the continued relevance of open surgical approaches in ZD treatment.
Purpose of the Study:
- To evaluate the efficacy and safety of open transcervical surgery for Zenker's diverticulum.
- To compare open surgery outcomes with the advancements in endoscopic techniques.
Main Methods:
- A retrospective analysis of 30 patients who underwent open transcervical ZD repair between 2000 and 2005.
- Data collection included patient demographics, surgical details, postoperative complications, long-term follow-up questionnaires, and esophageal X-rays.
Main Results:
- 91% of patients reported successful outcomes following open surgery.
- Complications included anastomotic leakage in 3 patients and recurrent laryngeal nerve injury in 2 patients.
Conclusions:
- Open surgical repair of Zenker's diverticulum is a dependable, minimally invasive treatment with excellent outcomes.
- Surgical intervention remains the sole option for patients ineligible for endoscopic procedures, necessitating continued surgical training.
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