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Title

Surgical treatment of Zenker's diverticulum: transcutaneous diverticulectomy versus microendoscopic myotomy of the cricopharyngeal muscle with CO2 laser

Authors
Zbären, P
Schär, P
Tschopp, L
Häusler, R
Published in Otolaryngology - Head and Neck Surgery. 1999, vol. 121, no. 4, p. 482-7
Abstract In a retrospective study, we analyzed 97 patients who were treated by either transcutaneous diverticulectomy (n = 66) or microendoscopic myotomy of the cricopharyngeal muscle with CO(2) laser (n = 31). Two (6.4%) of 31 patients in the microendoscopic myotomy group had complications, compared with 10 (15%) of 66 patients in the diverticulectomy group. In addition, the complications observed in the microendoscopic myotomy group were less severe than those observed in the transcutaneous diverticulectomy group. The average length of hospitalization was shorter in the microendoscopic myotomy group than in the diverticulectomy group (8 days versus 11.4 days). We conclude that microendoscopic CO(2)-laser myotomy is a less invasive, more precise, and safer procedure, which results in a shortened period of hospitalization and complete relief of symptoms in the vast majority of cases.
Keywords AdultAgedAged, 80 and overEndoscopyEsophagoscopesFemaleHumansLaser Therapy/instrumentationLength of StayMaleMicrosurgery/instrumentationMiddle AgedPharyngeal Muscles/surgeryPostoperative Complications/etiologyRetrospective StudiesTreatment OutcomeZenker Diverticulum/surgery
Identifiers
PMID: 10504609
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Research group Groupe Becker Minerva (imagerie ORL) (683)
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ZBÄREN, P et al. Surgical treatment of Zenker's diverticulum: transcutaneous diverticulectomy versus microendoscopic myotomy of the cricopharyngeal muscle with CO2 laser. In: Otolaryngology - Head and Neck Surgery, 1999, vol. 121, n° 4, p. 482-7. https://archive-ouverte.unige.ch/unige:40218

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Deposited on : 2014-09-16

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