日本医科大学医学会雑誌
Online ISSN : 1880-2877
Print ISSN : 1349-8975
ISSN-L : 1349-8975
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
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ジャーナル フリー

2013 年 9 巻 4 号 p. 190-193

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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 (45Fr) esophageal bougie. Patients with a large diverticulum are at risk for postoperative surgical complications, such as pneumonia and reccurent laryngeal nerve paralysis.
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© 2013 日本医科大学医学会
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