Cook R D, Huang P C, Richstmeier W J, Scher R L
Department of Surgery, Duke University Medical Center, Durham, North Carolina 27710, USA.
Laryngoscope. 2000 Dec;110(12):2020-5. doi: 10.1097/00005537-200012000-00008.
The objectives of the present study are to review the technique of endoscopic staple-assisted esophagodiverticulostomy (ESED) for the treatment of Zenker's diverticulum and to describe our experience and modifications with ESED and the advantages of ESED over previous treatments of Zenker's diverticulum.
Retrospective review of 74 cases of ESED performed for the treatment of Zenker's diverticulum.
Patient's records were retrospectively reviewed and tabulated for age, sex, size of diverticulum, symptoms, duration of symptoms, operative time, length of postoperative hospital stay, oral intake, complications, and relief of symptoms.
The senior author (R.L.S) previously reported results in 36 cases of ESED performed in 34 patients with Zenker's diverticulum. We have performed an additional 38 cases of ESED in 37 patients between March 1997 and August 1999. The rate of success of ESED was similar between the two series The average perioperative time, time until oral intake, and length of postoperative hospital stay decreased in the second series. Overall, there were no mortalities and few complications with ESED. Compared with other forms of treatment of Zenker's diverticulum, such as Dohlman's procedure, diverticulectomy, and diverticulopexy, ESED has a similar rate of success, decreased perioperative time, decreased convalescence, and decreased mortality and complications.
Cost-effectiveness, safety, and efficacy of ESED offer new advantages over previously used treatments for Zenker's diverticulum. These results continue to support the use of ESED as the initial treatment of choice for patients with Zenker's diverticulum.
本研究的目的是回顾内镜吻合器辅助食管憩室造口术（ESED）治疗Zenker憩室的技术，并描述我们在ESED方面的经验和改进，以及ESED相对于以往Zenker憩室治疗方法的优势。
对74例行ESED治疗Zenker憩室的病例进行回顾性研究。
对患者的记录进行回顾性分析，并制成表格，内容包括年龄、性别、憩室大小、症状、症状持续时间、手术时间、术后住院时间、经口摄入量、并发症以及症状缓解情况。
资深作者（R.L.S）此前报告了34例患有Zenker憩室的患者行36例ESED的结果。1997年3月至1999年8月期间，我们又对37例患者进行了38例ESED。两个系列中ESED的成功率相似。第二个系列的平均围手术期时间、恢复经口进食的时间和术后住院时间均有所缩短。总体而言，ESED无死亡病例，并发症较少。与Zenker憩室的其他治疗方式，如Dohlman手术、憩室切除术和憩室固定术相比，ESED的成功率相似，围手术期时间缩短，康复期缩短，死亡率和并发症减少。
ESED的成本效益、安全性和有效性相对于以往用于治疗Zenker憩室的方法具有新的优势。这些结果继续支持将ESED作为Zenker憩室患者的首选初始治疗方法。
