Papaspyrou Giorgos, Schick Bernhard, Papaspyrou Spyros, Wiegand Susanne, Al Kadah Basel
Department of Otorhinolaryngology, University Medical Centre, Kirrberger Straße, Homburg/Saar, 66421, Germany.
Department of Otolaryngology, Head and Neck Surgery, Evangelismos Hospital, Athens, Greece.
Eur Arch Otorhinolaryngol. 2016 Jan;273(1):183-8. doi: 10.1007/s00405-014-3486-4. Epub 2015 Jan 8.
Surgical intervention is the gold standard of treatment for Zenker's diverticulum. The aim of this study was to examine the role of laser surgery in a large number of patients with this pathological entity. The data of 91 consecutive patients treated due to Zenker's diverticulum with the aid of CO2 laser in three institutions (Homburg/Saar and Marburg, Germany/Athens, Greece) during the last 10 years were retrospectively analyzed. Parameters examined were sex, age, preoperative symptoms, length of operation and complications, revision surgery necessity and degree of patient satisfaction. All patients had a minimum follow-up of one year. Dysphagia was the most common preoperative symptom (78 %). The most common minor complication was dental injury (6.6 %), but a serious complication in form of emphysema was observed in only two patients (2.2 %). A surgical revision was necessary in 8 (8.8 %) of the treated patients. The majority of treated patients was free of symptoms (86.8 %), or presented mild symptoms (9.9 %) one year after intervention, and only three patients (3.3 %) were dissatisfied. Our study shows that laser treatment of Zenker's diverticulum is an efficient operative technique associated with low complications rates and significant improvement of patients' symptoms in most of the examined cases.
手术干预是治疗Zenker憩室的金标准。本研究的目的是探讨激光手术在大量患有这种病理实体的患者中的作用。回顾性分析了过去10年中在三个机构（德国洪堡/萨尔和马尔堡/希腊雅典）借助二氧化碳激光治疗的91例连续性Zenker憩室患者的数据。所检查的参数包括性别、年龄、术前症状、手术时长和并发症、再次手术的必要性以及患者满意度。所有患者的最短随访时间为一年。吞咽困难是最常见的术前症状（78%）。最常见的轻微并发症是牙齿损伤（6.6%），但仅在两名患者（2.2%）中观察到了以肺气肿形式出现的严重并发症。8例（8.8%）接受治疗的患者需要进行手术翻修。大多数接受治疗的患者在干预一年后无症状（86.8%）或仅有轻微症状（9.9%），只有三名患者（3.3%）不满意。我们的研究表明，激光治疗Zenker憩室是一种有效的手术技术，在大多数检查病例中并发症发生率低且患者症状有显著改善。
