■臨床医のために
Zenker憩室の手術
萩原 信敏, 松谷 毅, 野村 務, 青木 悠人, 上田 康二, 内田 英二
日本医科大学外科学（消化器外科学）
Surgical Repair of Zenker's Diverticulum
Nobutoshi Hagiwara, Takeshi Matsutani, Tsutomu Nomura, Yuto Aoki, Koji Ueda and Eiji Uchida
Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School
Zenker's diverticulum is a pulsion diverticulum that occurs at a weak site in the posterior wall of the pharyngoesophagus between the inferior constictor of the pharynx and the cricopharygeus muscle, i.e. Killian's triangle. Zenker's diverticulum is rare in Japan. We performed diverticulectomy with cricopharyngeal myotomy for Zenker's diverticulum via the external cervical approach with the patient under general anesthesia. The huge diverticulum was resected with the use of a large-diameter (45 Fr) esophageal bougie. Patients with a large diverticulum are at risk for postoperative surgical complications, such as pneumonia and reccurent laryngeal nerve paralysis.
日医大医会誌 2013; 9(4), 190-193
Key words
Zenker's diverticulum, diverticulectomy, cricopharyngeal myotomy
Correspondence to
Nobutoshi Hagiwara, Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku Tokyo 113-8603, Japan
E-mail：hagi@nms.ac.jp
受付：2013年5月22日 受理：2013年6月29日 |
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