Surgical outcome in 87 patients with Zenker's diverticulum

Surgical treatment of Zenker's diverticulum is controversial because many different procedures exist. We retrospectively reviewed 87 consecutive patients surgically treated for Zenker's diverticulum at a tertiary care institution from 1976 through 1993. Four surgical procedures were perfor...

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Bibliographic Details
Published inThe Laryngoscope Vol. 107; no. 6; p. 720
Main Authors Bonafede, J P, Lavertu, P, Wood, B G, Eliachar, I
Format Journal Article
LanguageEnglish
Published United States 01.06.1997
Subjects
Adult
Aged
Aged, 80 and over
Female
Humans
Male
Middle Aged
Postoperative Complications
Retrospective Studies
Treatment Outcome
Zenker Diverticulum - surgery
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Summary:Surgical treatment of Zenker's diverticulum is controversial because many different procedures exist. We retrospectively reviewed 87 consecutive patients surgically treated for Zenker's diverticulum at a tertiary care institution from 1976 through 1993. Four surgical procedures were performed: cricopharyngeal myotomy alone (n = 16), excision (hand-sewn) plus myotomy (n = 51), excision (stapler) plus myotomy (n = 11), and diverticulopexy plus myotomy (n = 9). There were three surgical mortalities (3.5%) and a complication rate of 24%. Eighty patients (92%) were available for follow up. Sixty-eight patients (78%) reported excellent relief of symptoms, 10 (13%) reported improvement with occasional symptoms, and two (3%) described persistent dysphagia. No statistical difference in complication rate was found among surgical groups (P = 0.15). Myotomy alone patients had worse outcomes (P = 0.04) compared with the other surgical groups. Median follow-up was 7.5 months.
ISSN:0023-852X
DOI:10.1097/00005537-199706000-00004