Hecker A, Junginger T
Klinik und Poliklinik für Allgemein, Johannes-Gutenberg-Universität Mainz.
Zentralbl Chir. 1996;121(3):201-6.
Between 1985 and 1994 36 patients with Zenker's diverticulum were operatively treated by excision of diverticulum and cricopharyngeal myotomy at the University department of Surgery, Mainz. The complication rate was 25% (9 of 36 patients), in 2 cases a suture insufficiency was detectable. Long-term results are based on follow-up studies of 32 patients. The average follow-up interval was 59 (10-101) months, 20 patients (56%) underwent radiological examinations or endoscopy. 29 of 32 patients were totally symptomfree concerning the esophagus. After an average follow-up of almost 5 years there was no symptomatic recurrence. In 1 of 20 radiologically or endoscopically examined patients an asymptomatic recurrence could be detected. These results show that excision of the diverticulum in combination with a cricopharyngeal myotomy is an effective method with low risk for the long-term removal of pharyngoesophageal diverticulum.
1985年至1994年间，美因茨大学外科收治了36例Zenker憩室患者，均接受了憩室切除术及环咽肌切开术。并发症发生率为25%（36例患者中的9例），其中2例可检测到缝合不足。长期结果基于对32例患者的随访研究。平均随访间隔为59（10 - 101）个月，20例患者（56%）接受了放射学检查或内镜检查。32例患者中有29例食管完全无症状。平均随访近5年后，无症状复发。在20例接受放射学或内镜检查的患者中，有1例检测到无症状复发。这些结果表明，憩室切除联合环咽肌切开术是一种长期切除咽食管憩室的有效方法，风险较低。
