Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches.
In pharyngeal pouch surgery, the relatively new technique of endoscopic stapling diverticulotomy has a number of advantages over more traditional surgical treatments, such as Dohlman's procedure and open pouch excision, and now seems to be the procedure of choice. However, a number of iatrogenic perforations and deaths have been reported with this procedure. We present three cases of iatrogenic perforations occurring during endoscopic stapling of a pharyngeal pouch by different surgeons in our unit, and review the management, causes and prevention of this potentially life-threatening complication.
Mirza
S
S
Department of Otolaryngology--Head and Neck Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, UK. showkatmirza@hotmail.com
Dutt
S N
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Irving
R M
RM
D000368:Aged; D000369:Aged, 80 and over; D016145:Endoscopy, Digestive System / Q000009:adverse effects* / Q000295:instrumentation; D005260:Female; D006801:Humans; D008297:Male; D010614:Pharynx / Q000293:injuries* / Q000601:surgery; D017792:Surgical Stapling / Q000009:adverse effects* / Q000295:instrumentation; D016672:Zenker Diverticulum / Q000601:surgery*