Possibilities of transoral stapled esophagodiverticulostomy for Zenker’s diverticulum

Abstract

The choice of surgical treatment for patients with Zenker's diverticulum has been the subject of heated debate for many decades. Currently, the main method of radical treatment in Russia remains open surgery – diverticulectomy with myotomy of the lower portion of the cricopharyngeal muscle and esophageal myotomy. The purpose of the study was to improve the results of treatment of Zenker's diverticulum by improving surgical tactics. The results of examination and treatment of patients with Zenker's diverticulum who were operated on with open diverticulectomy with cricopharyngeal myotomy (21 cases) and transoral esophagodiverticulostomy (19 cases) were subjected to comparative analysis. Were analyzed: age of patients at the time of the time of diagnosis and the time of surgery, complaints, number and kind of concomitant pathology, size of the diverticulum pouch, complications of the main disease, hospital length of stay, preoperative and postoperative periods, results (outcomes, relapses in the long-term postoperative period). We demonstrated that transoral esophagodiverticulostomy is same effective like open classical surgery is a low-traumatic technique with a minimal risk of intra- and postoperative complications, and can be used in patients with recurrent diverticula and after spinal surgery from an anterior approach.