Endoszkópos oesophago-diverticulosto- mia, mint újabb lehetoség a Zenker diverticulum nyitott mutéti kezelése mellett: melyik mutétet válasszuk?

Translated title of the contribution: Endoscopic stapled esophago-diverticulostomy as a new alternative to open surgery in the treatment of Zenker's diverticulum: which operation?

Zsolt Szentkereszty, Miklós Boros, Andrea Furka, P. Sápy, Sándor Sz Kiss

Research output: Contribution to journalArticle

Abstract

AIMS: The authors analyse the indications, contraindications, early and late results of two types of operations (resection of the diverticulum with crycopharyngeal myotomy and endoscopic stapled esophago-diverticulostomy) for the treatment of Zenker's diverticulum. PATIENTS AND METHODS: In a five year period 10 patients (5 male, 5 female, mean age 56.9 years) were operated for Zenker's diverticulum. Six open and 4 endoscopic operations were planned, although in one case the placement of the endoscope was unsuccessful. Open surgery was planned if the diverticulum was in lateral position, if it was too small or large and if endoscopic surgery was technically impossible. RESULTS: The operative time was shorter in the endoscopic group (32.3 vs. 80.7 minutes). In the open surgery group (7 patients) one saliva fistula developed caused by suture leak. The length of hospital stay was 8.1 days in the resection group and 4.7 in the endoscopic group. No recurrence developed. CONCLUSIONS: The advantages of the endoscopic oesophago-diverticulostomy are: shorter operating time and hospital stay, less complication rate and it is minimally invasive. The authors suggest endoscopic oesophago-diverticulostomy as the choice of operation in case of Zenker's diverticulum. Open surgery is indicated only if the diverticulum is in lateral position or if it is bigger than 8 cms. The technical contraindications for endoscopic surgery are: short, rigid neck and limited mouth opening.

Original languageHungarian
Pages (from-to)17-20
Number of pages4
JournalMagyar sebészet
Volume58
Issue number1
Publication statusPublished - 2005

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Zenker Diverticulum
Diverticulum
Length of Stay
Therapeutics
Endoscopes
Operative Time
Saliva
Sutures
Fistula
Mouth
Neck
Recurrence

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Endoszkópos oesophago-diverticulosto- mia, mint újabb lehetoség a Zenker diverticulum nyitott mutéti kezelése mellett : melyik mutétet válasszuk? / Szentkereszty, Zsolt; Boros, Miklós; Furka, Andrea; Sápy, P.; Sz Kiss, Sándor.

In: Magyar sebészet, Vol. 58, No. 1, 2005, p. 17-20.

Research output: Contribution to journalArticle

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abstract = "AIMS: The authors analyse the indications, contraindications, early and late results of two types of operations (resection of the diverticulum with crycopharyngeal myotomy and endoscopic stapled esophago-diverticulostomy) for the treatment of Zenker's diverticulum. PATIENTS AND METHODS: In a five year period 10 patients (5 male, 5 female, mean age 56.9 years) were operated for Zenker's diverticulum. Six open and 4 endoscopic operations were planned, although in one case the placement of the endoscope was unsuccessful. Open surgery was planned if the diverticulum was in lateral position, if it was too small or large and if endoscopic surgery was technically impossible. RESULTS: The operative time was shorter in the endoscopic group (32.3 vs. 80.7 minutes). In the open surgery group (7 patients) one saliva fistula developed caused by suture leak. The length of hospital stay was 8.1 days in the resection group and 4.7 in the endoscopic group. No recurrence developed. CONCLUSIONS: The advantages of the endoscopic oesophago-diverticulostomy are: shorter operating time and hospital stay, less complication rate and it is minimally invasive. The authors suggest endoscopic oesophago-diverticulostomy as the choice of operation in case of Zenker's diverticulum. Open surgery is indicated only if the diverticulum is in lateral position or if it is bigger than 8 cms. The technical contraindications for endoscopic surgery are: short, rigid neck and limited mouth opening.",
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