Minimally Invasive Surgery for Zenker Diverticulum

Significant symptomatic relief after transoral endoscopic staple-assisted treatment of Zenker's diverticulum

“…Dysphagia of liquids and solids was resolved or only rarely present in 92.3% and 92.1% of patients, respectively, and regurgitation was successfully treated in 89.5% (Tables 1-3). The results compare favorably with previous reports [1,9,11,13] (Table 4). We performed a detailed analysis of clinical symptoms, taking both quality and frequency into account.…”

“…In general, the hospital stay is shorter compared to conventional surgery. In other reports, median hospital stays after endoscopic staple-assisted procedures range from 1 to 5 days [1,9,11,13]. The median hospital stay in our series was 5 days.…”

“…Compared to other endoscopic methods, the rate of severe complications is low. The biggest series of patients (n = 95) with the longest follow-up after treatment by the stapling technique has been reported by Peracchia et al [11], who encountered neither morbidity nor mortality, and no recurrence of symptoms after a median follow-up of 23 months. Omote et al [9] operated on 21 patients without encountering any complication, but observed one death not related to the procedure.…”

Surgical Treatment of Zenker's Diverticulum

“…We identified 6,915 patients from 93 studies evaluating the effect of the surgical treatment for ZD, including 52 studies [8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54,55,56,57,58,59] (n = 3,336) on endoscopic surgeries, 22 [60,61,62,63,64,65,66,67,68,69,70,71,72,73,74,75,76,77,78,79,80,81] (n = 2,204) on open surgeries, and 19 [3,82,83,84,85,86,87,88,89,90,91,92,93,94,95,96,97,98,…”

Rol de la cirugía mínimamente invasiva en la patología esofágica benigna: reporte de una serie de casos

“…Las complicaciones varían entre 10 y 30%, asociándose a una mortalidad mínima [45][46][47][48][49][50][51][52][53] . Los procedimientos endoscópicos presentan una tasa promedio de complicaciones de 5,5%, y una tasa de mortalidad promedio de 0,2%, con recurrencia de la sintomatología de 6,6% para el grupo de técnicas vía endoscópica [49][50][51][52][53][54][55][56][57] . En cuanto a la enfermedad diverticular que compromete el tercio medio y distal del esófago, en general, para los divertículos medio torácicos la indicación quirúrgica corresponde a una diverticulectomía realizada por vía transtorácica.…”