Bates G J, Koay C B
Department of Otolaryngology, Radcliffe Infirmary, Oxford.
Ann R Coll Surg Engl. 1996 Mar;78(2):151-3.
Endoscopic diverticulotomy (Dohlman's procedure) is a well-established and effective alternative to external diverticulectomy in the treatment of pharyngeal pouch. The division of the common septum between the pouch and the oesophagus is usually performed either with electrocautery or with a laser. We describe a new technique of endoscopic diverticulotomy using a linear cutter stapling gun. This technique has the advantages of being quick and bloodless, avoiding the need for a nasogastric tube, permitting oral intake as early as the first postoperative day and allowing early discharge from hospital. It also has the theoretical advantage over the electrocautery or the laser technique of reducing the risk of fistula formation, mediastinitis and thermal injury to the recurrent laryngeal nerve.
内镜下憩室切开术（多尔曼手术）是治疗咽袋时一种成熟且有效的替代外部憩室切除术的方法。通常使用电灼或激光来切开咽袋与食管之间的共同隔膜。我们描述了一种使用线性切割吻合器进行内镜下憩室切开术的新技术。该技术具有操作迅速、无血的优点，无需放置鼻胃管，术后第一天即可经口进食，并可早期出院。与电灼或激光技术相比，它在理论上还有降低瘘管形成、纵隔炎和喉返神经热损伤风险的优势。
