Luna-Ortiz Kuauhyama, Etchegaray-Dondé Agustín, Campos-Ramos Eunice, Zárate-Tobon Luz Ma, Hurtado-López Luis Mauricio, Herrera-Gómez Angel
Departamento de Cabeza y Cuello, Instituto Nacional de Cancerología, Mexico, D.F., Mexico.
Cir Cir. 2009 Jan-Feb;77(1):51-5.
We undertook this study to report on transoral endoscopic management of Zenker's diverticulum.
Four patients with Zenker's diverticulum were treated by transoral microendoscopic surgery, two by stapler and two by laser resection.
All patients were successfully treated, and no complications were noted. Hospital stay was <24 h in all cases. Patients treated by stapler resumed oral feeding 8 h after surgery and those treated by laser required nasogastric tube feeding. Normal oral intake was achieved 5 days later.
Currently, treatment for Zenker's diverticulum must be done by transoral approach. Technique selection (laser or stapler) depends on surgeon's experience and their access to technology. Both techniques have important advantages when compared to classic open surgery (shorter hospital stay, lower cost, low morbidity and low rate of complications). Open surgery is indicated only when transoral technique is impossible for medical reasons or technical challenges, such as when technological support is not available.
我们开展本研究以报告经口内镜治疗Zenker憩室的情况。
4例Zenker憩室患者接受了经口微型内镜手术治疗，2例采用吻合器治疗，2例采用激光切除治疗。
所有患者均成功治愈，未出现并发症。所有病例的住院时间均<24小时。采用吻合器治疗的患者术后8小时恢复经口进食，采用激光治疗的患者需要鼻饲。5天后恢复正常经口饮食。
目前，Zenker憩室的治疗必须采用经口途径。技术选择（激光或吻合器）取决于外科医生的经验及其可获得的技术。与传统开放手术相比，这两种技术都具有重要优势（住院时间短、成本低、发病率低和并发症发生率低）。仅在因医学原因或技术挑战无法采用经口技术时，如无法获得技术支持时，才考虑开放手术。
