Anagiotos Andreas, Feyka Matthias, Eslick Guy D, Lichtenstein Thorsten, Henning Tobias D, Guntinas-Lichius Orlando, Hüttenbrink Karl-Bernd, Preuss Simon F
University of Cologne, Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, Cologne, Germany.
University of Cologne, Medical Faculty, Department of Otorhinolaryngology, Head and Neck Surgery, Cologne, Germany.
Auris Nasus Larynx. 2014 Dec;41(6):568-71. doi: 10.1016/j.anl.2014.06.002. Epub 2014 Sep 8.
To assess the long-term outcome after endoscopic laser-assisted diverticulotomy.
The medical files of patients who underwent endoscopic Zenker's diverticulum (ZD) surgery were reviewed retrospectively. Patients were interviewed using a questionnaire which assessed symptoms, other relevant disorders and satisfaction after the surgery.
Mean follow-up period from 62 surgeries was 100 months (range 11-216 months). Follow-up data were obtained from 34 patients (response rate: 55%) in total. The surgery resulted in a significant reduction of symptoms (regurgitation, dysphagia and globus sensation). In four cases (12%) a postoperative impairment of swallowing solid food was reported, whereas, persisted difficulty of swallowing liquids was observed in two patients (6%). There was no reported case of impairment associated with everyday habits. The majority of patients were satisfied with the overall outcome of the surgery (n=31, 91%).
The endoscopic laser-assisted diverticulotomy is an effective method of treating Zenker's diverticulum. The presented long-term results confirm that this technique offers a very high degree of symptom relief and patient's satisfaction.
评估内镜激光辅助憩室切除术的长期疗效。
回顾性分析接受内镜下Zenker憩室（ZD）手术患者的病历。使用问卷对患者进行访谈，问卷评估了症状、其他相关疾病以及术后满意度。
62例手术的平均随访时间为100个月（范围11 - 216个月）。总共从34例患者获得随访数据（应答率：55%）。手术使症状（反流、吞咽困难和咽部异物感）显著减轻。4例（12%）报告术后吞咽固体食物有障碍，而2例患者（6%）存在持续的吞咽液体困难。未报告与日常习惯相关的障碍病例。大多数患者对手术的总体结果满意（n = 31，91%）。
内镜激光辅助憩室切除术是治疗Zenker憩室的有效方法。所呈现的长期结果证实，该技术能极大程度缓解症状并提高患者满意度。
