Department of Otorhinolaryngology, Head and Neck Surgery, University of Cologne, 50937, Cologne, Germany,
Eur Arch Otorhinolaryngol. 2014 Apr;271(4):765-70. doi: 10.1007/s00405-013-2579-9. Epub 2013 Jun 6.
The aim of the present study was to compare the modifications of endoscopic laser-assisted diverticulotomy regarding closure of mucosal wound at the cricopharyngeal bridge. The results of 62 cases after endoscopic laser-assisted diverticulotomy without and with wound closure were retrospectively compared. After laser-assisted transection of the cricopharyngeal bridge, the mucosa wound was left open (OW) in 35 cases (56%), whereas a closure of the mucosa wound (CW) with sutures and fibrin glue was performed in 27 patients (44%). Duration of hospitalization, residual diverticular sac rate and occurrence of complications did not differ significantly between the two groups. Mean surgical time was significantly less in the OW cases. According to these results, it can be assumed that readapting and sealing the wound after transecting the cricopharyngeal bridge does not significantly reduce the complication rate. It does, however, extend the length of surgery and increases the cost of the procedure.
本研究旨在比较内镜激光辅助憩室切开术在环咽弓处黏膜伤口闭合方面的改良。回顾性比较了 62 例内镜激光辅助憩室切开术无和有伤口闭合的结果。在激光辅助环咽弓切开后，35 例（56%）患者的黏膜伤口未闭合（OW），27 例（44%）患者采用缝线和纤维蛋白胶闭合黏膜伤口（CW）。两组患者的住院时间、残余憩室囊发生率和并发症发生情况无显著差异。OW 组的平均手术时间明显更短。根据这些结果，可以假设在切开环咽弓后重新适应和密封伤口并不能显著降低并发症发生率。然而，它确实延长了手术时间并增加了手术成本。
