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) |
備考 | 症例報告 (Case Reports) |
出版物タイトル | 岡山医学会雑誌 |
発行日 | 2015-04-01 |
巻 | 127巻 |
号 | 1号 |
出版者 | 岡山医学会 |
出版者(別表記) | Okayama Medical Association |
開始ページ | 19 |
終了ページ | 23 |
ISSN | 0030-1558 |
NCID | AN00032489 |
資料タイプ | 学術雑誌論文 |
言語 | Japanese |
著作権者 | Copyright (c) 2015 岡山医学会 |
論文のバージョン | publisher |
査読 | 有り |
DOI | 10.4044/joma.127.19 |
NAID | 130005068344 |
Sort Key | 5 |
Eprints Journal Name | joma |
参考文献 | 1) 井手博子, 押淵英晃, 杉山明義 : 食道憩室症の病態と治療. Current Therapy(1985)3, 669-675. 2) 中村 努, 井手博子 : 食道憩室. 臨消内科(2000)15, 749-755. 3) 丹黒 章, 吉野茂文, 安部俊弘, 林 秀知, 岡 正朗 : 食道憩室に対する手術. 手術(2002)56, 1733-1738. 4) 大杉治司, 藤原有史, 綛野 進, 高田信康, 竹村雅至, 木下博明 : Zenker憩室に対する輪状咽頭筋切開術. 手術(2002)56, 1518-1522. 5) 小熊潤也, 小澤壯治, 北川雄光, 才川義朗, 安藤暢敏, 北島政樹 : 咽頭食道憩室(Zenker憩室)の手術症例における臨床的特徴ならびに治療法についての検討. 日消外会誌(2004)37, 619-624. 6) 川村弘之, 片岡 誠, 桑原義之, 呉山泰進, 岩田 宏, 篠田憲幸, 加島健利, 佐藤篤司, 服部浩次, 中野浩一郎, 正岡 昭 : Zenker憩室の1手術例. 日消外会誌(1993)26, 2166-2170. 7) Colombo-Benkmann M, Unruh V, Krieglstein C, Senninger N : Cricopharyngeal Myotomy in the Treatment of Zenker's Diverticulum. J Am Coll Surg (2003) 196, 370-378. 8) Chiari C, Yeganehfar W, Scharitzer M, Mittlbock M, Armbruster C, Roka R, Fugger R, Wenzl E, Pokieser P, Bischof G : Significant symptomatic relief after transoral endoscopic staple-assisted treatment of Zenker's diverticulum. Surg Endosc (2003) 17, 596-600. 9) Peracchia A, Bonavina L, Narne S, Segalin A, Antoniazzi L, Marotta G : Minimally Invasive Surgery for Zenker Diverticulum : Arch Surg (1998) 133, 695-700. 10) Scher RL, Richtsmeier WJ : Lonr-term Experience With Endoscopic Staple-Assisted Esophagodiverticulostomy for Zenker's Diverticulum. Laryngoscope (1998) 108, 200-205. 11) Busaba NY, Ishoo E, Kieff D : Open Zenker's Diverticulectomy Using Staplling Techniques. Ann Otol Rhinol Laryngol (2001) 110, 498-501. 12) Barthlen W, Feussner H, Hannig C, Holscher AH, Siewert JR : Surgical Therapy of Zenker's Diverticulum : Low Risk and High Efficiency. Dysphagia (1990) 5, 13-19. |