[Surgical treatment of Zenker's diverticulum]

The authors present an account of diagnostic methods, endoscopic problems and surgical treatment of Zenker's diverticula of the oesophagus. They analyze possibilities of X-ray and endoscopic diagnosis; a frequent problem is the insertion of an oesophageal probe before operation; tamponade of the diverticula before operation is useful. Surgical treatment is indicated in major diverticula, small flat ones are followed up. The surgical approach is from the left side of the neck. In the authors' department always total resection of the dicerticulum was performed in major diverticule, invagination could be used in minor diverticula. Early and late complications of operations are discussed.