Brimioulle Marina, Corbridge Rogan, Elsayed Mahmoud
Ears, Nose and Throat Department, Royal Berkshire Hospital, London Road, Reading, RG1 5AN, UK.
Eur Arch Otorhinolaryngol. 2023 Jan;280(1):487-490. doi: 10.1007/s00405-022-07603-4. Epub 2022 Aug 30.
Pharyngeal pouches are generally treated with surgery, via either an endoscopic or an external approach. Large pouches extending to the mediastinum carry an increased risk of post-operative mediastinitis in the event of a leak following external approach surgery, and may not always be amenable to endoscopic stapling.
Transcervical stapling is a newly described technique that uses the endoluminal stapling approach but in which the diverticuloscope is inserted into the pharynx via a neck incision.
This technique has been used successfully on three patients with large pharyngeal pouches, where endoscopic stapling was not possible due to access limitations.
咽袋通常通过手术治疗，可采用内镜或外部入路。延伸至纵隔的大咽袋在外入路手术后若发生渗漏，术后纵隔炎风险增加，且可能并非总能通过内镜吻合器治疗。
经颈吻合术是一种新描述的技术，它采用腔内吻合方法，但通过颈部切口将憩室镜插入咽部。
该技术已成功应用于3例大咽袋患者，这些患者因入路受限无法进行内镜吻合术。
