Endoscopic stapling versus external transcervical approach for the treatment of Zenker diverticulum

Matthew Brace, S. Mark Taylor, Jonathan R. Trites, Drew Bethune, Elhamy Attia, Robert D. Hart

Résultat de recherche: Articleexamen par les pairs

17 Citations (Scopus)

Résumé

Objective: To compare endoscopic stapling versus external transcervical approaches in the treatment of Zenker diverticulum. Design: A 10-year retrospective institutional review was performed to identify all patients treated for Zenker diverticulum. Setting: Academic tertiary care centre. Methods: Patients treated surgically for Zenker diverticulum were identified through an electronic records search. Patient charts were reviewed, and patients were interviewed at follow-up. Main Outcome Measures: Patient age, sex, duration of symptoms, procedural time, time to oral liquids, length of posttreatment hospital stay, and post procedure patient satisfaction were recorded and compared. Results: Ten patients treated endoscopically were compared with eight patients treated via an external approach. There were no significant differences in patient age, sex, and duration of symptoms. The external technique took significantly longer (110.88 ± 59.61 minutes) than the staple technique (19.50 ± 6.47 minutes) (p < .0001). There was no significant difference in time to full oral liquids (p = .11). The postsurgical hospital stay (4.71 ± 1.98 days) was significantly longer for the external technique compared with the staple technique (2.30 ± 2.83) (p = .03). Patient symptom relief was reported as completely resolved or improved in all cases, regardless of treatment type. Conclusions: Endoscopic stapling of Zenker diverticulum achieves operative success and patient satisfaction comparable to those of traditional external transcervical techniques, with significantly decreased operative times and hospital stays, allowing for more efficient use of resources.

Langue d'origineEnglish
Pages (de-à)102-106
Nombre de pages5
JournalJournal of Otolaryngology - Head and Neck Surgery
Volume39
Numéro de publication1
DOI
Statut de publicationPublished - févr. 1 2010

ASJC Scopus Subject Areas

  • Surgery
  • Otorhinolaryngology

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