Endoscopic laser-assisted diverticulotomy versus open surgical approach in the treatment of Zenker's diverticulum
✍ Scribed by Michael Koch; Konstantinos Mantsopoulos; Stylianos Velegrakis; Heinrich Iro; Johannes Zenk
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 90 KB
- Volume
- 121
- Category
- Article
- ISSN
- 0023-852X
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✦ Synopsis
Abstract
Objectives/Hypothesis:
This study aimed to evaluate the results of endoscopic laser‐assisted diverticulotomy and the transcervical approach in treating Zenker's diverticulum.
Study Design:
Retrospective clinical study.
Methods:
Results of 155 cases after endoscopic laser‐assisted diverticulotomy and the transcervical approach were retrospectively compared.
Results:
Primary treatment consisted of endoscopic laser‐assisted diverticulotomy in 65.2%, and 34.8% were treated by a transcervical approach. Average follow‐up time was 61.8 months. Surgical time, duration of hospitalization, and occurrence of minor complications were significantly lower after endoscopic approach. Recurrence rate showed a statistically significant difference in favor of open approach. Including the recurrences, 38.7% could be cured only by transcervical techniques. Patient perception of success was found to be similar for the compared treatment modalities.
Conclusions:
Endoscopic approach proved to be the treatment of first choice. However, the fact that open techniques were necessary in nearly 40% of our cases suggests that this operative technique retains a substantial role in treatment of this disease.