Zenker's diverticulum is a condition affecting the upper digestive tract.
Surgical intervention, specifically diverticulectomy, is a common treatment.
Long-term outcomes and complication rates require thorough investigation.
Purpose:
To evaluate the long-term outcomes of surgical diverticulectomy for Zenker's diverticulum.
To identify risk factors and patterns of complications and recurrence.
To assess the efficacy of endoscopic CO2-laser diverticulectomy.
Summary:
A 25-year study of 115 patients undergoing diverticulectomy for Zenker's diverticulum revealed significant complication rates, including local infections (21%), recurrent nerve paresis (10%), and other complications (11%).
Postoperative antibiotic prophylaxis was found to reduce local infective complications, which correlated with higher recurrence rates.
Endoscopic CO2-laser diverticulectomy demonstrated potential for reduced complications and shorter hospital stays.
Impact:
Findings highlight the importance of prophylactic antibiotics in minimizing complications and recurrences.
The study supports endoscopic CO2-laser diverticulectomy as a safe and effective treatment option.
This research provides valuable data for surgical decision-making and patient management in Zenker's diverticulum cases.