Identifier to cite or link to this item: http://hdl.handle.net/20.500.13003/16840
Transoral endoluminal approach to Zenker's diverticulum using Ligasure (TM). Early clinical experience
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ISSN: 1130-0108
eISSN: 2340-4167
WOS ID: 000349136800010
Scopus EID: 2-s2.0-84938943321
PMID: 24852740
Embase PUI: L605604979
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2014-02Document type
research articleCitation
Noguera Aguilar J, Dolz Abadia C, Vilella A, Muñoz Perez JM, Canaval Zuleta HJ, Salvatierra Arrieta L. Transoral endoluminal approach to Zenker's diverticulum using Ligasure (TM). Early clinical experience. Rev Esp Enferm Dig. 2014 Feb;106(2):137-41.Abstract
The development of minimally invasive procedures has rekindled interest in endoluminal techniques for the management of Zenker's diverticulum. Tissue sealers as employed in laparoscopic surgery have not been previously used for Zenker's diverticulum septotomy. Supported by the established safety of linear cutters, bipolar forceps, and ultrasonic scalpels, we have started a procedure using the Ligasure 5 (TM) tissue sealer. Safety and efficacy results in our early clinical experience are shown for a prospective series of 5 consecutive Zenker's diverticulum cases that were perorally managed with tissue sealing. The procedure was quickly and safely performed in the endoscopy room under sedation. Mean number of seals per patient was 2, and mean procedure duration was 33 minutes. No complications developed during or after the procedure, and patients were discharged with immediate dysphagia relief and adequate oral tolerance. No diverticular relapses occurred after a mean follow-up of 21 months (range 18-30). This procedure may be repeated as often as desired with no need for hospital admission. Safety should be prospectively assessed by further studies using a higher number of procedures.
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https://dx.doi.org/10.4321/S1130-01082014000200010MeSH
Aged, 80 and overAmbulatory Surgical Procedures
Aged
Male
Prospective Studies
Digestive System Surgical Procedures
Female
Treatment Outcome
Humans
Postoperative Complications
Zenker Diverticulum
Middle Aged
DeCS
Complicaciones PosoperatoriasResultado del Tratamiento
Humanos
Persona de Mediana Edad
Estudios Prospectivos
Anciano
Anciano de 80 o más Años
Procedimientos Quirúrgicos Ambulatorios
Femenino
Procedimientos Quirúrgicos del Sistema Digestivo
Divertículo de Zenker
Masculino
This item appears in following Docusalut collections
Instituto de Investigación Sanitaria Islas Baleares - IDISBA > Comunicación científicaHospital Universitario Son Llàtzer - HUSLL > Comunicación científica