Comparing Different Surgical Approaches Treating Zenker's Diverticulum
by Dr. Christopher Chang, last modified on
4/14/21.
Table below summarizes the outcomes when comparing the different surgical approaches in treating Zenker's Diverticulum. ESD is Endoscopic Staple Diverticulostomy which is what we advocate. Endoscopic CO2 laser uses a similar approach, but a laser is used to divide the common wall instead of a stapling device. Open transcervical approach is performed through an incision in the neck instead of going through the mouth endoscopically.
There are other new surgical procedures being developed, but not enough data to provide adequate statistical numbers. Such newer approaches include the Trans-Oral Resection of Diverticula (TORD) which specifically addresses small Zenker's Diverticulum (which ESD is not good at addressing) as well as flexible instead of rigid endoscopic approach.
ESD |
Endoscopic CO2 Laser |
Open Transcervical Approach |
|
| Time Under Anesthesia | < 45 minutes |
> 60 minutes (several sessions not uncommon) |
83.2 minutes |
| Days Before Being Allowed to Eat/Drink | < 1 day |
2.2 days |
4.5 days |
| Days of Hospitalization | < 1 day |
6.5 days |
7.6 days |
| Complication Rate | 2.6% |
7.4% |
11.8% |
| Recurrence Rate | 6% |
11.5% |
5% |
| Risks Resulting in a Surgical Complication |
|
|
|
| Who is a candidate? | Works best for pouches >1.5cm in size |
Works for pouches of any size |
Works for pouches of any size |
Source for the table information obtained from "Endoscopic Staple Diverticulostomy for Zenker's Diverticulum: Review of Literature and Experience in 159 Consecutive Cases. Laryngoscope. 113(6):957-965, 2003. Link"
Related Blog Articles
- Why Would a Zenker's Diverticulum Recur After Surgical Treatment?
- Bi-Lobed Zenker's Diverticulum
- Normal Radiological Appearance After Endoscopic Treatment of Zenker's Diverticulum (ESD)
- Zenker's Diverticulum Endoscopic Treatment Confusion
- Bilateral Lateral Hypopharyngocele (Cervical Esophageal Diverticulum)
- New Surgical Approach to Treat Small Zenker's Diverticulum
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