Huang B, Payne W S, Cameron A J
Ann Thorac Surg. 1984 Mar;37(3):189-91. doi: 10.1016/s0003-4975(10)60322-0.
Recurrent pharyngoesophageal diverticulum is uncommon after a one-stage diverticulectomy. Among 888 operations at the Mayo Clinic, recurrence has been noted after only 32 (3.6%). The present report outlines our management during a 19-year period of 44 patients operated on previously, including management of various late complications seen in 13 patients after diverticulopexy and diverticulectomy performed at other institutions. The study then focuses on the results in 31 patients in whom reoperation for symptomatic recurrent diverticulum was performed at the Mayo Clinic during the same period. Although reoperation posed a technical challenge, there was only 1 operative death (3.2%). Surviving patients experienced highly satisfactory late results, with only two recurrences. Early surgical morbidity was considerably higher than for primary operations, but this did not interfere with most patients having excellent to good late results.
一期憩室切除术后复发性咽食管憩室并不常见。在梅奥诊所的888例手术中，仅32例（3.6%）出现复发。本报告概述了我们在19年期间对44例先前接受手术患者的治疗情况，包括对13例在其他机构进行憩室固定术和憩室切除术后出现各种晚期并发症的处理。该研究随后聚焦于同期在梅奥诊所因有症状的复发性憩室而接受再次手术的31例患者的结果。尽管再次手术带来了技术挑战，但仅有1例手术死亡（3.2%）。存活患者的晚期结果非常令人满意，仅有两例复发。早期手术并发症发生率明显高于初次手术，但这并未影响大多数患者获得良好至优秀的晚期结果。
