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2015 | 87 | 3 | 109-115
Tytuł artykułu

Assessment of the Results of Surgical Treatment of Zenker’S Diverticulum in Own Material

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Zenker diverticulum (ZD) is the most common type of diverticula of the esophagus. Most often refers to men with a peak incidence in the seventh and eighth decade of life. In the majority diverticula remains asymptomatic and in patients with symptomatic course of the disease symptoms are often nonspecific. Aim of the study was to present the authors’ own experience in surgical treatment of Zenker diverticulum. Material and methods. In this paper we present an analysis of 31 patients with confirmed ZD treated surgically at the Clinic in 2004-2014. Patients were analyzed in terms of age, gender, clinical symptoms, diverticulum size, type of surgery, the time to return to the oral intake, hospital stay and perioperative complications. Results. 22 men and 9 women were enrolled it this study. The mean age of the patients was 64.8 (SD, 10.7; in the range of 28 to 82 years). 29 patients (93.5%) underwent resection of the diverticulum, while diverticulopexy was performed in two patients. In 25 (80.6%) cases stapler device was used, while in 4 (12.9%) resection was performed manually. The average size of resected diverticulum was 4.9 cm (SD, 1.5). Following the surgery in four patients (12.9%) complications were present. The average operating time was 118.7 minutes (SD, 42.2, in the range of 50 to 240 minutes). The mean length of hospital stay was 9.3 (SD, 3.3). Conclusions. Surgical treatment of ZD is associated with high effectiveness and low recurrence rate. Despite the advantages of endoscopic techniques, surgical treatment is characterized by one- stage procedure. The use of mechanical suture (stapler) significantly improves the operation, although on the basis of our own analysis there was no superiority revealed over hand sewn. Unquestionable adventage of classical technique is the opportunity to histopathological evaluation of resected diverticulum what is impossible to achieve in endoscopic techniques.
Wydawca
Rocznik
Tom
87
Numer
3
Strony
109-115
Opis fizyczny
Daty
wydano
2015-03-01
otrzymano
2015-06-03
online
2015-07-03
Twórcy
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews , bobofon007@gmail.com
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Kierownik: prof. dr hab. M. Drews Department of Radiology, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Kierownik: prof. dr hab. M. Drews Department of Radiology, Medical University in Poznań Kierownik: prof. dr hab. W. Paprzycki
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
  • Department of General, Endocrinological and Gastroenterological Oncology Surgery, Medical University in Poznań Kierownik: prof. dr hab. M. Drews
Bibliografia
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  • 23. Chang CY , Payyapilli RJ , Scher RL et al.: Endoscopic staple diverticulostomy for Zenker’s diverticulum: review of literature and experience in 159 consecutive cases. Laryngoscope 2003; 113: 957-65.
  • 24. Brangewitz M, Voigtländer T, Helfritz FA et al.: Endoscopic closure of esophageal intrathoracic leaks: stent versus endoscopic vacuum-assisted closure, a retrospective analysis. Endoscopy 2013; 45(6): 433-38.
  • 25. Senderak F, Banasiewicz T: Endoscopic Sponge Application Tool /ESPA/. NPWT 2014; 1(2): 74-75.
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  • 27. Bowdler DA, Stell PM: Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker’s diverticulum). Br J Surg 1987 Jul; 74: 561-63.
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0028
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