Por favor, use este identificador para citar o enlazar este Item:http://hdl.handle.net/20.500.12105/19970
Título
Transoral endoluminal approach to Zenker's diverticulum using Ligasure (TM). Early clinical experience
Autor(es)
Fecha de publicación
2014-02
Cita
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.
Idioma
Español
Tipo de documento
research article
Resumen
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.
Palabras clave
MESH
Aged, 80 and over | Ambulatory Surgical Procedures | Aged | Male | Prospective Studies | Digestive System Surgical Procedures | Female | Treatment Outcome | Humans | Postoperative Complications | Zenker Diverticulum | Middle Aged
DECS
Complicaciones Posoperatorias | Resultado 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
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