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The Annals of Thoracic Surgery, Vol 56, 573-576, Copyright © 1993 by The Society of Thoracic Surgeons


ARTICLES

Endoscopic stapling technique of esophagodiverticulostomy for Zenker's diverticulum

JM Collard, JB Otte and PJ Kestens
Department of Surgery, Louvain Medical School, Brussels, Belgium.

We present an endoscopic technique of division of the common wall between the esophagus and the hypopharyngeal (Zenker's) diverticulum. The novelty of the technique, as compared with endoscopic sutureless coagulating methods, consists of stapling the esophageal to the diverticular wall using the Endo-GIA 30 stapler (US Surgical Corp, Norwalk, CT), which protects the neck from any contamination from the digestive lumen and ensures optimal hemostasis of the wound edges. The stapler has been designed such that perforation of the bottom of the diverticulum is not likely. The technique has been applied to 6 patients.


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