endoscopic resection of zenkers diverticulum泽克的内镜切除憩室.pdfVIP

Diagnostic and Therapeutic Endoscopy, Vol. 7, pp. 83-87 (C) 2001 OPA (Overseas Publishers Association) N.V. Reprints available directly from the publisher Published by license under Photocopying permitted by license only the Harwood Academic Publishers imprint, part of Gordon and Breach Publishing, member of the Taylor Francis Group. A Case Report Endoscopic Resection of Zenker’s Diverticulum HIDEYUKI KATAOKAa’*, HIROYA KITANOa, MASAKI FUJIMURAb, MASAMITSU HIRANOb, TAKASHI KINOSHITAb, MAKOTO HANADAa, NORIKUNI KASUYA and KAZUTOMO KITAJIMA aDepartment of Otolaryngology, Head and Neck Surgery, bSecond Department of Surgery, Shiga University ofMedical Science, Otsu, Shiga, Japan (Received9 February 2001; Infinalform 9 March 2001) We report an endoscopically assisted total diverticulectomy for Zenker’s diverticulum. Skin incisions were made at the anterior axillary line, the center of the sternum, and the neck as portals for endoscopical instruments. The skin was retracted with hooks which provided an excellent view of the working space. The diverticulum was fully exposed and resected by using a multifire endoscopic stapler. This approach is minimally invasive in comparison with the conventional open cervical approach. Keywords: Diverticulum, Endoscopic surgery, Hooked retractor INTRODUCTION