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oai:repisalud.isciii.es:20.500.12105/199702024-11-28T19:30:16Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967
Repisalud author Noguera Aguilar, Jose Francisco author Dolz Abadia, Carlos author Vilella, Angels author Munoz Perez, Jose M author Canaval Zuleta, Hector Julian author Salvatierra Arrieta, Leopoldo 2024-07-03T11:01:24Z 2024-07-03T11:01:24Z 2014-02 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. 10.4321/S1130-01082014000200010 2340-4167 1130-0108 Revista Española de Enfermedades Digestivas http://hdl.handle.net/20.500.13003/16840 24852740 L605604979 2-s2.0-84938943321 http://hdl.handle.net/20.500.12105/19970 349136800010 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. spa Zenker's diverticulum Flexible endoscopy Septotomy Endoscopic surgery Transoral endoluminal approach to Zenker's diverticulum using Ligasure (TM). Early clinical experience research article