Surgical treatment of Zenker’s diverticulum. Is the open approach really outdated?
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Abstract
The authors aimed to elucidate the indications of transcervical surgical approach and also to review the literature in the treatment of symptomatic Zenker’s diverticulum (ZD), focusing on clear indications for open surgery (diverticulectomy with cricopharyngeal myotomy). The authors analyzed the efficacy of open surgery versus the current standard endoscopic diverticulotomy, focusing on the size of the diverticulum, surgical approach, and postoperative morbidity..
Following a retrospective search in the literature using Medline and PuBMed database of the past 5 years, the authors found 79 articles about the treatment of symptomatic Zenker’s diverticulum (keywords: Zenker’s diverticulum, open surgery, endoscopic diverticulectomy). 25 papers were included, the exclusion criteria were small number of patients, non-english publications.
Although endoscopic diverticulectomy is the preferred method of treatment in symptomatic Zenker’s diverticulum, in those cases, in which the patient is not eligible for endoscopic treatment, open surgery is a safe and reliable choice when treating a small ZD.
Article Details
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References
Aquino J, Chagas J, Said M, et al.: Assessment of mechanical and manual suture in thes surgical treatment of the pharyngoesophageal diverticulum. ABCD Arq Bras Cir Dig 2015; 28(4):239-242.
Babur T.: Iatrogenic Zenker’s diverticulum perforation: A conservatively treated case. Ulusal Cer Derg 2014; 30:234-236.
Barton MD, Detwiller KY, Palmer AD, et al.: The safety and efficacy of endoscopic Zenker’s diverticulotomy: A cohort study. Laryngoscope, 2016; doi:10.1002/lary.26046.
Bizotto A, Lacopini F, Landi R, et al.: Zenker’s diverticulum:exploring treatment options. Acta Otorhinolaryngol Ital. 2013; 33(4):219-29.
Bobkiewicz A, Banasiewicz T, Krokowicz L, et al.: Assessment of the results of surgical treatment of Zenker’s diverticulum in own material. Polski Przeglad Chirurgiczny 2015; 87(3):109-115.
Courson AM, Landry AM, Lott DG, et al.: Open Staple diverticulectomy for a large recurrent Zenker’s diverticulum: still a valid procedure. Ann Otol Rhinol Laryngol. 2013; 122(12):729-33.
de la Morena Madrigal EJ, Pérez Arellano E, Rodríguez García I.: Flexible endoscopic treatment of Zenker’s diverticulum: thirteen years’experience in Spain. Rev Esp Engerm Dig. 2016; 108(6):297-303. doi:10.17235/reed.2016.4030/2015
Herrero EA, Pérez DL, Tejero-Garcés GG, et al.: Treatment of Zenker’s diverticulum: comparison of different techniques. Acta Otorrinolaringol Esp. 2013; 64(1):1-5. doi: 10.1016/j.otorri.2012.06.002.
Jackson B, Ahmad Z, Morton RP.: Utility of transcervical management of Zenker’s diverticulum. J Laryngol Otol. 2016; 130 Suppl 1:S16-9. doi: 0.1017/S0022215115003205
Jiang N.. Sung CK, Damrose EJ.: Improvement in the Reflux Symptom Index Following Surgery for Cricopharyngeal Dysfunction. J Voice. 2016; pii: S0892-1997(16)00040-0. doi: 10.2016/j.voice.2016.02.006.
Johanson CM, Postma GN.: Zenker Diverticulum—Which surgical Approach is Superior? JAMA Otolaryngol Head Neck Surg. 2016; 142(4):401-3. doi: 0.1001/jamaoto.2015.3892
Jones D, Aloraini A, Gowing S., et al.: Evolving Management of Zenker’s Diverticulum int he Endoscopic Era: A North American Experience. World J Surg. 2016; 40(6):1390-6. doi: 10.1007/s00268-0163442-0
Kannabiran V, Gooey J, Fisichella P.: A tailored approach to the Surgical Treatment of Zenker’s Diverticula. J Gastroinetst Surg 2015; 19:949-954.
Kannabiran VR, Gooey J, Fisichelle PM.: A Tailored Approach to the Surgical Treatment of Zenker’s Diverticula. J Gastrointest Surg. 2015; 19(5):949-54. doi: 10.1007/s11605-015-2774-7.
Leibowitz JM, Fundakowski CE, Abouyared M, et al.: Surgical Tecniques for Zenker’s Diverticulum:Comparative Analysis Otolaryngol Head Neck Surg. 2014, 151(1):52-8. doi: 10.1177/0194599814529405.
Mantsopoulos K, Psychogios G, Künzel jJ et al.: Evaluation of the diferent transcervical approaches for Zenker’s diverticulum. Otolaryngol Head Neck Surg 2012; 146:725-9.
Nuno-Guzmán CM, García –Carrasco D, Haro M, et al.: Zenker’s Diverticulum: Diagnostic Approach and Surgical Management. Case Rep Gastroenterol. 2014; 8(3):206-12. doi:10.1159/000369130.
Seth R, Rajasekaran K, Lee WT, et al.: Patient reported outcomes in endoscopic and open transcervical treatment for Zenker’s diverticulum. J Laryngoscope. 2014; 124(1):119-25. doi: 10.1002/lary.24152.
Shah RN, Slaughter KA, Fedore LW, et al.: Does residual wall size or technique matter in treatment of Zenker’s diverticulum? Laryngoscope, 2016; doi: 10.1002/lary.25975.
Shahawy S, Janisiewicz A, Annino D, et al.: A comparative study of outcomes for endoscopic diverticulotomy versus external diverticulectomy. Otolaryngol Heas Neck Surg. 2014; 15(4):646-651.
Sonbare DJ.: Pulsion Diverticulum of the Oesophagus : More than just an Out Pouch. Indian J Surg. 2015; 77(1):44-8. doi:10.1007/s12262-013-0955-8
Verdonck J, Morton RP.: Systematic review on treatment of Zenker’s diverticulum.
Eur Arch Otorhinolaryngol. 2015; 272(11):3095-107. doi: 10.1007/s004405-014-3247-4.
Visser L.J., Hardillo J.A.U., Monserez D.A., et al.: Zenker’s diverticulum: Rotterdam experience. Eur Arch Otorhinolaryngol 2016; 273:2755-2763.
Yuan Y, Zhao YF, Hu Y, et al.: Surgical treatment of Zenker’s diverticulum. Dig Surg 2013; 30(3):207-18. doi:10.1159/000351433.