A novel Killian-Jamieson diverticulectomy using a thyroid gland flap: a case report

Area of Science:

• Gastroenterology
• Surgical Oncology
• Otolaryngology

Background:

• Killian-Jamieson diverticulum is a rare condition.
• Optimal surgical techniques and necessity of cricopharyngeal myotomy remain debated.
• Preventing postoperative complications like leakage is a key challenge.

Purpose of the Study:

• To describe a novel surgical approach for Killian-Jamieson diverticulectomy.
• To evaluate the efficacy of a thyroid gland flap and partial cricopharyngeal myotomy.
• To assess the prevention of complications and recurrence.

Main Methods:

• A 49-year-old male patient with oropharyngeal dysphagia underwent transcervical diverticulectomy.
• Intraoperative nerve monitoring preserved recurrent laryngeal nerves.
• A thyroid gland flap covered the staple line after diverticulectomy and partial cricopharyngeal myotomy.

Main Results:

• The procedure was uneventful, with no vocal cord paralysis.
• The patient was discharged on postoperative day 8.
• No signs of leakage, recurrence, or adverse events were observed.

Conclusions:

• Killian-Jamieson diverticulectomy with a thyroid flap and partial cricopharyngeal myotomy is a viable treatment.
• This technique may reduce complications and recurrence rates.
• Intraoperative nerve monitoring is crucial for safe repair.