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Utility of transcervical management of Zenker's diverticulum

B Jackson¹, Z Ahmad¹, R P Morton¹

¹Department of Otolaryngology - Head and Neck Surgery,Counties Manukau Health,Manukau City,Auckland,New Zealand,and the Department of Surgery,University of Auckland.

The Journal of Laryngology and Otology

|November 27, 2015

Abstract

Objective:

To evaluate our results in treating Zenker's diverticulum via the transcervical approach, and to compare our experiences with a recent systematic review of both open and endoscopic approaches to the pharyngeal pouch.

Method:

An audit yielded 41 consecutive cases of Zenker's diverticulum treated between 2003 and 2013.

Results:

All 41 patients underwent transcervical cricopharyngeal myotomy; 29 sacs also required 'inversion'. The median and mean length of hospital stay was 1 night and 2.5 nights respectively. The recurrence rate was 2.4 per cent and the complication rate was 9.8 per cent.

Conclusion:

When compared to reported endoscopic techniques, transcervical cricopharyngeal myotomy (with or without inversion) in our unit resulted in: shorter hospital stay, a comparable complication rate and fewer recurrences.

Keywords:

Endoscopic Stapling Inversion Length Of Stay Pharyngeal Pouch Syndrome Recurrence Zenker Diverticulum

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