Features of minimally invasive surgical treatment of pharyngo-esophageal diverticulа with the use of videoendoscopic transillumination

Ivanov, Yu. V.; Панченков, Д. Н.; Sasonov, D. V.; Shablovskyi, O. R.

doi:10.17116/endoskop20162243-8

Cited by 3 publications

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References 1 publication

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“…Однако в литературе применение интраоперационной внутрипросветной эндоскопии освещено лишь со стороны традиционной хирургии. Имеются публикации об использовании внутрипросветной эндоскопии при дивертикулэктомии, фундопликации, оценки анастомоза желудочно-кишечного тракта [1][2][3][4][5][6][7][8]. Данная методика позволяет интраоперационно выявить такие осложнения анастомоза, как негерметичность, стеноз и кровотечение, а также скорректировать их в ходе операции, не допустив развития клинических проявлений в раннем послеоперационном периоде.…”

Section: Discussionunclassified

Intraoperative intraluminal endoscopic assistance

Булганина

Годжелло

Хрусталева

et al. 2020

jour

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Purpose of the study. Clarification of indications, assessment of technical aspects and results of intraoperative intraluminal endoscopic assistance in patients with diseases of the gastrointestinal tract, respiratory tract and in cardiosurgical patients.Materials and methods. Intraoperative intraluminal endoscopic assistance was performed for esophageal diverticula (41), gastroesophageal reflux disease and its complications (32), cicatricial stenoses and tracheal neoplasms (28), gastrointestinal tract neoplasms (17), and a mismatch between the diagnosis of the sending organization with intraoperative data (9) and for the anastomoses control (5). Intraoperative sanation tracheo-bronchoscopy with the definition of “background” flora was performed in 60 cardiosurgical patients with chronic diseases of the bronchopulmonary system.Results. The indications for performing the intraoperative intraluminal endoscopic assistance have been specified taking into account the impact of the study on the surgical course and scope, the method of anesthesia and the tactics of further treatment. Various aspects of the formed fundoplication cuff, completeness of diverticulum resection, and suture tightness were assessed. In a number of patients, the localization of neoplasms and stenoses was clarified, which affected the definition of the resection boundaries. In a number of cases, intraoperative intraluminal endoscopic assistance allowed reducing the average time of intervention and helped to minimize complications.Conclusion. Intraoperative intraluminal endoscopic assistance has its own peculiarities of execution, requires experience in data interpretation, requires a clear coordinated work and communication between the endoscopist, anesthesiologist and surgeon. In general, intraoperative endoscopy improves the results of surgical treatment and prevents complications.

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Section: Discussionunclassified

Intraoperative intraluminal endoscopic assistance

Булганина

Годжелло

Хрусталева

et al. 2020

jour

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Surgery of the upper departments of the digestive tract with intraoperative intra-research endoscopic assistance: review of the literature

Shestakov

Shakhbanov

Хрусталева

et al. 2020

Ambulatornaya khirurgiya

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This analysis is based on the study of materials from scientific electronic libraries (elibrary.ru, PubMed, scientific library of the Petrovsky National Research Centre of Surgery, Moscow, Russia). The problem of treating the pathology of the upper gastrointestinal tract is caused by the high prevalence of benign and malignant diseases of this zone, their severity, the complexity of diagnosis and often the low efficiency of conservative therapy. Intensive implementation of innovative scientific technologies in medical practice, aimed at increasing the effectiveness of treatment and diagnostic measures, minimizing their negative impact on the patient’s body and reducing the risk of complications, which, at the same time, have sufficient economic attractiveness. In full, all of the above can be attributed to endoscopy, which has been actively developing in recent years, both in the diagnostic and in the operational areas. In the treatment of various diseases of the gastrointestinal tract in recent years, combined methods based on the use of two or more minimally invasive technologies, for example, endoluminal endoscopic and thoraco or laparoscopic methods, have entered the world practice. The data of scientific articles on the problem of surgical treatment of patients with benign and malignant diseases of the upper gastrointestinal tract, carried out using intraoperative intraluminal endoscopic assistant, are analyzed. The use of intraluminal endoscopy, in particular, allows to increase the radicality of surgical interventions in patients with malignant neoplasms of the upper gastrointestinal tract, perform intraoperative topical diagnosis of non-palpable tumors, and use it in the surgical treatment of esophageal diverticulums of various localization. Also, another area of application of intraoperative intraluminal endoscopy is the assessment of tightness and anastomosis zone during surgical interventions on the organs of the gastrointestinal tract. However, this technique is in the process of implementation in clinical practice and has not been sufficiently studied both in foreign and domestic literature.

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Transluminal endoscopic methods of treatment of Zenker’s diverticulum and transaxillary endovideosurgical diverticulectomy: a clinical case series

Vetshev,

Alekseev,

Pavlova

et al. 2024

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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INTRODUCTION. The Zenker’s diverticulum is a protrusion of the wall of the pharyngeal-esophageal junction from the area of the Killian triangle as a result of persistent spasm of the cricopharyngeal muscle. The prevalence of the disease in Russia is 3 cases per 100 thousand people, in the world 0.01–0.11 %.METHODS AND MATERIALS . At the N. N. Burdenko Faculty Surgery Clinic of the I. M. Sechenov First Moscow State Medical University 2 patients with small diverticulum underwent endoscopic tunnel cricopharyngeal myotomy and 3 patients with large diverticulum underwent video-assisted transaxillary diverticulectomy.RESULTS . Compared with surgical methods for the treatment of Zenker’s diverticulum endoscopic methods have a lower complication rate, but a higher recurrence rate.CONCLUSION. Despite the introduction of new treatment methods, it is advisable to adhere to a differentiated approach to the treatment of Zenker’s diverticulum. Surgical treatment is indicated for patients with a large diverticulum in the absence of contraindications to surgery. Transluminal endoscopic methods, including cricopharyngeal tunnel myotomy, can be considered as a treatment for patients with small-sized Zenker’s diverticulum, as well as patients with large diverticulum who have concomitant diseases and contraindications to traditional surgery.

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Features of minimally invasive surgical treatment of pharyngo-esophageal diverticulа with the use of videoendoscopic transillumination

Cited by 3 publications

References 1 publication

Intraoperative intraluminal endoscopic assistance

Intraoperative intraluminal endoscopic assistance

Surgery of the upper departments of the digestive tract with intraoperative intra-research endoscopic assistance: review of the literature

Transluminal endoscopic methods of treatment of Zenker’s diverticulum and transaxillary endovideosurgical diverticulectomy: a clinical case series

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