Trible W M
South Med J. 1975 Oct;68(10):1260-2. doi: 10.1097/00007611-197510000-00019.
Twenty years' experience with the surgical treatment of Zenker's diverticulum is discussed, with emphasis on 25 patients treated by the Dohlman endoscopic method since 1959. In these patients, mostly elderly, the sac was not removed, but the wall between the esophagus and pouch was divided endoscopically. There were no deaths and no instances of mediastinitis or hemorrhage. Twenty-four of the 25 patients were able to eat with much greater ease. The chief advantages of the endoscopic approach are its extreme brevity of two to five minutes, lack of morbidity, and lack of threat to the recurrent laryngeal nerve. Reoperations are as simple as the original.
本文讨论了20年来对Zenker憩室的外科治疗经验，重点介绍了自1959年以来采用多尔曼内镜治疗法治疗的25例患者。这些患者大多为老年人，未切除憩室囊，而是在内镜下切开食管与憩室之间的壁。无死亡病例，也无纵隔炎或出血情况。25例患者中有24例进食变得轻松得多。内镜治疗法的主要优点是操作极其简便，只需2至5分钟，无发病率，且对喉返神经无威胁。再次手术与初次手术一样简单。
