Anagiotos, A., Feyka, M., Gostian, A. -O., Lichtenstein, T., Henning, T. D., Guntinas-Lichius, O., Huettenbrink, K. B. and Preuss, S. F. (2014). Endoscopic laser-assisted diverticulotomy without versus with wound closure in the treatment of Zenker's diverticulum. Eur. Arch. Oto-Rhino-Laryn., 271 (4). S. 765 - 771. NEW YORK: SPRINGER. ISSN 1434-4726

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Abstract

The aim of the present study was to compare the modifications of endoscopic laser-assisted diverticulotomy regarding closure of mucosal wound at the cricopharyngeal bridge. The results of 62 cases after endoscopic laser-assisted diverticulotomy without and with wound closure were retrospectively compared. After laser-assisted transection of the cricopharyngeal bridge, the mucosa wound was left open (OW) in 35 cases (56 %), whereas a closure of the mucosa wound (CW) with sutures and fibrin glue was performed in 27 patients (44 %). Duration of hospitalization, residual diverticular sac rate and occurrence of complications did not differ significantly between the two groups. Mean surgical time was significantly less in the OW cases. According to these results, it can be assumed that readapting and sealing the wound after transecting the cricopharyngeal bridge does not significantly reduce the complication rate. It does, however, extend the length of surgery and increases the cost of the procedure.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Anagiotos, A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Feyka, M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gostian, A. -O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lichtenstein, T.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Henning, T. D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guntinas-Lichius, O.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huettenbrink, K. B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Preuss, S. F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-441859
DOI: 10.1007/s00405-013-2579-9
Journal or Publication Title: Eur. Arch. Oto-Rhino-Laryn.
Volume: 271
Number: 4
Page Range: S. 765 - 771
Date: 2014
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1434-4726
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
CARBON-DIOXIDE LASER; MANAGEMENT; SERIESMultiple languages
OtorhinolaryngologyMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/44185

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