经口内镜肌切开术（Z-POEM）治疗Zenker 憩室的经验与技术。
Experience and Technique for Zenker's Diverticulum Per Oral Endoscopic Myotomy: Z-POEM.
机构信息
Center for Thoracic Surgery, Baylor Scott & White North Texas, Dallas, Texas, United States.
Center for Esophageal Diseases, Baylor University Medical Center at Dallas, Dallas, Texas, United States.
出版信息
Thorac Cardiovasc Surg. 2021 Apr;69(3):228-230. doi: 10.1055/s-0040-1717127. Epub 2020 Oct 21.
OBJECTIVE
With the advent of minimally invasive surgery, incisionless surgery, and third-space endoscopy, the treatment for Zenker's diverticulum has also moved toward less invasive techniques METHODS: New incisionless per oral techniques can be applied for cricopharyngeal myotomy in Zenker's diverticulum.
RESULTS
Five patients underwent Zenker's diverticulum per oral endoscopic myotomy (Z-POEM) without complications, minimal discomfort, and narcotic consumption, with complete resolution of their symptoms by history and Eckardt scores.
CONCLUSIONS
Z-POEM is performed entirely endoscopically with very little associated pain or complication rates, with short-term follow-up having excellent functional and symptomatic results.
目的
随着微创外科、无切口手术和第三空间内镜技术的出现，Zenker 憩室的治疗也朝着创伤更小的技术发展。
方法
Zenker 憩室的环咽肌切开术可采用新的经口无切口技术。
结果
5 例患者接受经口内镜 Zenker 憩室肌切开术（Z-POEM），无并发症，疼痛和麻醉药物消耗最小，症状完全缓解，根据病史和 Eckardt 评分判断。
结论
Z-POEM 完全在内镜下进行，相关疼痛或并发症发生率极低，短期随访的功能和症状结果极好。
Zotero 插件