Open Staple Diverticulectomy for a Large Recurrent Zenker's Diverticulum: Still a Valid Procedure

Courson, Andy M.; Lott, David G.; Hinni, Michael L.

doi:10.1177/000348941312201201

Cited by 4 publications

(3 citation statements)

References 16 publications

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“…In humans, various staplers, including TA staplers, are widely used for esophageal procedures including removal of esophageal diverticula 17,18 . Their use has also been described in dogs 10,19 .…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs

2021

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Objective To describe the treatment of persistent right aortic arch (PRAA) in dogs with combined ligamentum arteriosum (LA) transection and esophageal diverticulum resection. Animals Three client owned dogs. Study Design Short case series. Methods Medical records were reviewed for clinical signs, diagnostic procedures, surgical treatment, post‐operative therapies including medications and feeding regime, outcomes, and follow‐up imaging. Results Esophageal resection was performed using a thoracoabdominal (TA) stapler with suture overlay. All dogs recovered well from surgery and did not experience any peri‐ or post‐operative complications. The last follow‐up was performed between 64 and 1004 days post‐operatively. In all cases, regurgitation resolved and did not recur in any dogs. No dogs required medical therapy or dietary modifications. In two cases, follow‐up imaging was performed that revealed marked improvement of esophageal dilation. Conclusion Resection of esophageal diverticulum secondary to PRAA utilizing a TA stapler with suture overlay was technically feasible and did not seem associated with early or late complications.

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Section: Discussionmentioning

confidence: 99%

Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs

2021

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“…Recent reviews demonstrated a mortality of 0.2% to 0.4% with endoscopic approaches, compared with 0.6% to 0.9% with open procedures 12,13 . Notably, endoscopic procedures are not feasible for patients with unfavorable anatomy, recurrent diverticulum, or small or large diverticulum 14–17 . Furthermore, open procedures have a lower rate of symptom recurrence and need for revision procedures 18 .…”

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confidence: 99%

“…12,13 Notably, endoscopic procedures are not feasible for patients with unfavorable anatomy, recurrent diverticulum, or small or large diverticulum. [14][15][16][17] Furthermore, open procedures have a lower rate of symptom recurrence and need for revision procedures. 18 When an endoscopic approach is feasible, options include stapler, 19 carbon dioxide laser, 20 and potassium titanyl phosphate (KTP) laser.…”

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confidence: 99%

Simulation of KTP Laser–Based Zenker Diverticulotomy with a Porcine Model and Laryngeal Dissection Station

et al. 2017

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Zenker’s diverticulum is a rare cause of progressive dysphagia that is treated surgically. KTP laser-based diverticulotomy is one effective treatment. Developing a simulation model is helpful for rare conditions. Pigs have a natural hypopharyngeal pouch similar to a diverticulum. We present a model for performing rigid endoscopic KTP laser diverticulotomy in a porcine model using a laryngeal dissection station. Eleven pigs were examined to confirm presence of the hypopharyngeal pouch. A specimen was mounted on the modified laryngeal dissection station and a KTP laser-based diverticulotomy was performed. Novel aspects include use of the laryngeal dissection station and application of the model for simulating rigid endoscopic KTP laser diverticulotomy. This model allows trainees to practice equipment setup, positioning of the laryngoscope to isolate the cricopharyngeal bar, tissue handling, laser safety techniques, and use of the KTP laser through the laryngoscope under microscopic visualization.

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C-reactive protein as an early marker of postoperative leakage in patients after endoscopic laser assisted Zenker’s diverticulotomy

Kaňa

Kalfeřt

Lukeš

et al. 2022

Eur Arch Otorhinolaryngol

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Open Staple Diverticulectomy for a Large Recurrent Zenker's Diverticulum: Still a Valid Procedure

Cited by 4 publications

References 16 publications

Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs

Surgical treatment of persistent right aortic arch with combined ligamentum arteriosum transection and esophageal diverticulum resection in three dogs

Simulation of KTP Laser–Based Zenker Diverticulotomy with a Porcine Model and Laryngeal Dissection Station

C-reactive protein as an early marker of postoperative leakage in patients after endoscopic laser assisted Zenker’s diverticulotomy

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