| 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 |
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