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Optimising endoscopic stapling of pharyngeal pouches
A Moore1, A Vijendren, R Rajagopal
1Department of ENT, St George's Healthcare NHS Trust, London, UK. andy.moore@doctors.org.uk
The Journal of Laryngology and Otology
|January 31, 2012
Summary
Using forceps improves endoscopic stapling accuracy for hypopharyngeal diverticulotomy, reducing complications and costs associated with multiple staple applications in cricopharyngeal bar division.
Area of Science:
- Gastroenterology
- Otolaryngology
- Surgical Innovation
Background:
- Endoscopic hypopharyngeal diverticulotomy commonly uses stapling devices.
- Incomplete cricopharyngeal bar division necessitates repeat stapling, increasing risks and costs.
- Stapling small pharyngeal pouches is challenging due to device engagement difficulties.
Purpose of the Study:
- To enhance the accuracy of endoscopic stapling for hypopharyngeal diverticulotomy.
- To reduce complications and costs associated with suboptimal stapling.
- To improve the technique for stapling small pharyngeal pouches.
Main Methods:
- Utilized two pairs of oesophageal forceps.
- Employed a 0-degree Hopkins rod.
- Applied these tools to optimize endoscopic stapling of pharyngeal pouches.
Main Results:
- Grasping forceps improved the accuracy of the stapling procedure.
- Enhanced accuracy led to reduced morbidity.
- The technique mitigated costs linked to multiple staple applications.
Conclusions:
- Forceps-assisted stapling enhances precision in hypopharyngeal diverticulotomy.
- This method effectively addresses challenges in stapling small pouches.
- Improved accuracy reduces patient morbidity and healthcare expenses.
