Servicio de Otorrinolaringología, Hospital Universitario de Cabueñes, Gijón, Spain.
Servicio de Otorrinolaringología, Hospital Universitario de Cabueñes, Gijón, Spain.
Acta Otorrinolaringol Esp (Engl Ed). 2021 Nov-Dec;72(6):381-386. doi: 10.1016/j.otoeng.2020.11.001.
Zenker's diverticulum is an uncommon pathology of the upper oesophageal sphincter whose most frequent symptoms are the association of dysphagia and regurgitation. It is more frequent in advanced ages, and its treatment of choice is surgery in symptomatic cases.
A retrospective descriptive study was performed of 27 patients operated in the Otorhinolaryngology service of the Hospital Universitario de Cabueñes between 2007 and 2019 using laser endoscopic surgery.
27 patients were operated, 70.4% male and 29.6% female, with a mean age of 67 years (range between 30 and 91). The most frequent symptom at diagnosis was dysphagia. No intraoperative complications were observed. One patient (3.7%) presented post-surgical fever, and another patient (3.7%) had a serious complication due to oesophageal perforation secondary to postsurgical emesis. The median hospital stay was 5 days, and the median oral intake was 4 days. Recurrence was observed in 6 patients (22.2%), 4 (14.8%) requiring a second intervention, which was performed using the same technique.
The surgical treatment of Zenker's diverticulum has advanced in recent decades, with endoscopic treatment currently being the choice. Among the surgical options, endoscopic CO2 laser surgery is an effective and safe alternative, although possible complications must be considered. It is also an effective alternative for the treatment of recurrences.
Zenker 憩室是一种不常见的食管上括约肌疾病，其最常见的症状是吞咽困难和反流的联合症状。它在老年人群中更为常见，其治疗方法是在有症状的病例中选择手术。
对 2007 年至 2019 年期间在 Hospital Universitario de Cabueñes 耳鼻喉科服务部接受激光内镜手术治疗的 27 例患者进行了回顾性描述性研究。
共对 27 例患者进行了手术，其中 70.4%为男性，29.6%为女性，平均年龄为 67 岁（30-91 岁）。诊断时最常见的症状是吞咽困难。术中未观察到并发症。1 例（3.7%）患者术后出现发热，另 1 例（3.7%）患者因术后呕吐导致食管穿孔而发生严重并发症。中位住院时间为 5 天，中位口服摄入时间为 4 天。6 例（22.2%）患者出现复发，其中 4 例（14.8%）需要再次干预，采用相同技术进行。
Zenker 憩室的手术治疗在最近几十年已经取得了进展，目前内镜治疗是首选。在手术选择中，内镜 CO2 激光手术是一种有效且安全的替代方法，尽管必须考虑可能出现的并发症。对于复发的治疗，它也是一种有效的替代方法。
