タイトル(別表記) Surgically treated Zenker’s diverticulum: Diverticulectomy and cricopharyngeal myotomy
フルテキストURL 127_19.pdf
著者 二宮 卓之| 金谷 信彦| 勝田 浩| 田中屋 宏爾| 青木 秀樹| 竹内 仁司|
抄録  Zenker's diverticulum is a very rare disease among gastorointestinal diverticulum. We report a case of Zenker's diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy. A 71-year-old male complained of aspirating water for two years. He was diagnosed as Zenker's diverticulum. Due to his severe symptoms, the operation was performed in an open-neck approach. The left recurrent laryngeal nerve was identified and preserved. An incision was made in the diverticulum wall, and the internal diameter of normal cervical esophagus was measured. The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus. A cricopharyngeal myotomy was conducted, because this muscle was fibrotic and stiffened. The patient's symptoms disappeared after the operation. Diverticulectomy and cricopharyngeal myotomy through an open-neck approach is a safe and reliable method that follows, direct access to the diverticulum and recurrent laryngeal nerve.
キーワード Zenker憩室(Zenker’s diverticulum) 輪状咽頭筋切開術(cricopharyngeal myotomy) 頚部アプローチ(open-neck approach)
出版物タイトル 岡山医学会雑誌
発行日 2015-04-01
127巻
1号
開始ページ 19
終了ページ 23
ISSN 0030-1558
言語 Japanese
著作権者 Copyright (c) 2015 岡山医学会
論文のバージョン publisher
DOI 10.4044/joma.127.19
NAID 130005068344