Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-25T19:30:54.575Z Has data issue: false hasContentIssue false
  • English
  • Français

Staple gun in the surgery of hypopharyngeal diverticula

Published online by Cambridge University Press:  29 June 2007

G. A. Westmore
G. A. Westmore*
Affiliation:
Boston, Lincs
*
G. A. Westmore, F.R.C.S., Consultant Head & Neck Surgeon, Pilgrim Hospital, Boston, Lincolnshire
Get access Rights & Permissions [Opens in a new window]

Abstract

There have been many approaches advocated over the years for the surgical management of hypopharyngeal diverticulum, and this is a reflection of the absence of an ideal method both in terms of the surgical technique and of the frequency and severity of complications. Further experience with the use of the surgical staple gun is presented together with a discussion of its use in comparison with other operative methods. The ease and speed of the technique combined with a negligible complication rate suggest that it is a viable method for the management of large diverticula.

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 104 , Issue 7 , July 1990 , pp. 553 - 556
Copyright
Copyright © JLO (1984) Limited 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Barton, R. P. F., Forrest, A. W., Wickham, M. H. (1988) Use of the fibreoptic laryngoscope in pharyngeal pouch surgery. Journal of Laryngology and Otology, 102: 328–331.CrossRefGoogle ScholarPubMed
Bertelsen, S., Aasted, A. (1976) Results of operative treatment of hypo-pharyngeal diverticulum. Thorax, 31: 544–547.CrossRefGoogle Scholar
Bowdler, D. A., Stell, P. M. (1987 a) Carcinoma arising in posterior pharyngeal pulsion diverticulum (Zenker's diverticulum). British Journal of Surgery, 74: 561–563.CrossRefGoogle ScholarPubMed
Bowdler, D. A., Stell, P. M. (1987 b) Surgical management of posterior pharyngeal pulsion diverticula; inversion versus one-stage excision. British Journal of Surgery, 74: 988–990.CrossRefGoogle ScholarPubMed
Byers, R. M., Ballantyne, A. J., Goepfert, H., Guillamondegui, O. M., Larson, D. L., Medina, J. (1982) Clinical effects of closed suction drainage on wound healing in patients with head and neck cancer. Archives of Otolaryngology, 108: 723–727.CrossRefGoogle ScholarPubMed
Doyle, P. J., Stevens, H. E. (1986) In Otolaryngology—Head and Neck Surgery (Cummings, C. W., Frederickson, J. M., Harker, L. A., Krause, C. J. and Schuller, D. E., eds.), Vol. 3, p. 2407, The C. V. Mosby Company, St. Louis, Missouri.Google Scholar
Freeland, A. P., Bates, G. J. (1987) The surgical treatment of a pharyngeal pouch: inversion or excision? Annals of the Royal College of Surgeons of England, 69: 57–58.Google ScholarPubMed
George, C. D., Pollock, D. (1984) Excision of pharyngooesophageal diverticula using a surgical stapling device. British Journal of Surgery, 71: 422.CrossRefGoogle Scholar
Hoehn, J. G., Payne, W. S. (1969) Resection of pharyngooesophageal diverticulum using stapling device. Mayo Clinic Proceedings, 44: 738–741.Google Scholar
Huang, B., Unni, K. K., Payne, W. S. (1984) Long-term survival following diverticulectomy for cancer in pharyngo-oesophageal (Zenker's) diverticulum. Annals of Thoracic Surgery, 38: 207–210.CrossRefGoogle ScholarPubMed
Maran, A. G., Wilson, J. A., Al Muhanna, A. H. (1986) Pharyngeal diverticula. Clinical Otolaryngology, 11: 219–225.CrossRefGoogle ScholarPubMed
Overbeek, J. J. M. van, Hoeksema, P. E. (1982) Endoscopic treatment of the hypopharyngeal diverticulum: 211 cases. Laryngoscope, 92: 88–91.CrossRefGoogle ScholarPubMed
Overbeek, J. J. M. van, Hoeksema, P. F., Edem, E. T. (1984) Microendoscopic surgery of the hypopharyngeal diverticulum using electrocoagulation or carbon dioxide laser. Annals of Otology, Rhinology and Laryngology, 93(1 Pt 1): 34–36.CrossRefGoogle ScholarPubMed
Pagliero, K. M. (1985) Use of autosuture during oesophageal and pharyngeal diverticulectomy. Clinical Otolaryngology, 10: 263–264.CrossRefGoogle ScholarPubMed
Smith, S. R. G., Gilmore, O. J. A. (1985) Surgical Drainage. British Journal of Hospital Medicine, 33: 310–315.Google ScholarPubMed
Stevens, D. J. (1989) Carcinoma of the pharyngeal pouch. The Journal of Laryngology and Otology, 103: 695–697.CrossRefGoogle ScholarPubMed
Talmi, Y. P., Finkelstein, Y., Sadov, R., Shvili, Y., Zohar, Y. (1989) Use of a linear stapler in excision of Zenker's diverticulum. Head & Neck, 11: 150–152.CrossRefGoogle ScholarPubMed
Vered, I. Y., Rosen, G., Resnick, S. (1982) Excision of Zenker's diverticulum using autosuture technique. Laryngoscope, 92: 1081–1082.CrossRefGoogle Scholar
Welsh, G. F., Payne, W. S. (1973) Present status of one-stage pharyngo-esophageal diverticulectomy. Review of Surgery, 30: 370–371.Google ScholarPubMed
Westmore, G. A. (1983) The use of a stapling instrument in the surgery of hypopharyngeal diverticula. Journal of Laryngology and Otology, 97: 779–780.CrossRefGoogle ScholarPubMed
Westmore, G. A., Knowles, J. E. A. (1983) The use of a stapling instrument for post-laryngectomy pharyngeal repair. Journal of Laryngology and Otology, 97: 775–778.CrossRefGoogle Scholar