Transluminal endoscopic methods of treatment of Zenker’s diverticulum and transaxillary endovideosurgical diverticulectomy: a clinical case series
https://doi.org/10.24884/0042-4625-2024-183-4-40-46
Abstract
INTRODUCTION. The Zenker’s diverticulum is a protrusion of the wall of the pharyngeal-esophageal junction from the area of the Killian triangle as a result of persistent spasm of the cricopharyngeal muscle. The prevalence of the disease in Russia is 3 cases per 100 thousand people, in the world 0.01–0.11 %.
METHODS AND MATERIALS . At the N. N. Burdenko Faculty Surgery Clinic of the I. M. Sechenov First Moscow State Medical University 2 patients with small diverticulum underwent endoscopic tunnel cricopharyngeal myotomy and 3 patients with large diverticulum underwent video-assisted transaxillary diverticulectomy.
RESULTS . Compared with surgical methods for the treatment of Zenker’s diverticulum endoscopic methods have a lower complication rate, but a higher recurrence rate.
CONCLUSION. Despite the introduction of new treatment methods, it is advisable to adhere to a differentiated approach to the treatment of Zenker’s diverticulum. Surgical treatment is indicated for patients with a large diverticulum in the absence of contraindications to surgery. Transluminal endoscopic methods, including cricopharyngeal tunnel myotomy, can be considered as a treatment for patients with small-sized Zenker’s diverticulum, as well as patients with large diverticulum who have concomitant diseases and contraindications to traditional surgery.
About the Authors
F. P. Vetshev
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Vetshev Fedor P., Dr. of Sci. (Med.), Professor, Head of the Department of Faculty Surgery № 1, Cancer Surgeon of the University Clinical Hospital № 1
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
K. I. Alekseev
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Alekseev Konstantin I., Cand. of Sci. (Med.), Endoscopist of the University Clinical Hospital № 1
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
E. A. Pavlova
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Pavlova Ekaterina A., Laboratory Assistant of the Department of Faculty Surgery № 1
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
M. B. Saliba
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Saliba Maxim B., Cand. of Sci. (Med.), Associate Professor, Surgeon of the University Clinical Hospital № 1
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
N. V. Petukhova
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Petukhova Natalya V., Postgraduate Student, Oncologist surgeon of the University Clinical Hospital № 1
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
A. A. Maksimova
M. Sechenov First Moscow State Medical University (Sechenov University)
Russian Federation
Competing Interests:
Russian Federation
Maksimova Anastasia A., Student
8, Trubeckaya str., Moscow, 119991
Competing Interests:
The authors declare no conflict of interest.
References
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For citations:
Vetshev F.P., Alekseev K.I., Pavlova E.A., Saliba M.B., Petukhova N.V., Maksimova A.A. Transluminal endoscopic methods of treatment of Zenker’s diverticulum and transaxillary endovideosurgical diverticulectomy: a clinical case series. Grekov's Bulletin of Surgery. 2024;183(4):40-46. (In Russ.) https://doi.org/10.24884/0042-4625-2024-183-4-40-46
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