title: Utility of transcervical management of Zenker's diverticulum.
abstract: OBJECTIVE
  To evaluate our results in treating Zenker's diverticulum via the transcervical approach, and to compare our experiences with a recent systematic review of both open and endoscopic approaches to the pharyngeal pouch.
  
  
  METHODS
  An audit yielded 41 consecutive cases of Zenker's diverticulum treated between 2003 and 2013.
  
  
  RESULTS
  All 41 patients underwent transcervical cricopharyngeal myotomy; 29 sacs also required 'inversion'. The median and mean length of hospital stay was 1 night and 2.5 nights respectively. The recurrence rate was 2.4 per cent and the complication rate was 9.8 per cent.
  
  
  CONCLUSIONS
  When compared to reported endoscopic techniques, transcervical cricopharyngeal myotomy (with or without inversion) in our unit resulted in: shorter hospital stay, a comparable complication rate and fewer recurrences.
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery,Counties Manukau Health,Manukau City,Auckland,New Zealand,and the Department of Surgery,University of Auckland.
authors.forename: B
authors.initials: B
authors.lastname: Jackson
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery,Counties Manukau Health,Manukau City,Auckland,New Zealand,and the Department of Surgery,University of Auckland.
authors.forename: Z
authors.initials: Z
authors.lastname: Ahmad
authors.affiliation: Department of Otolaryngology - Head and Neck Surgery,Counties Manukau Health,Manukau City,Auckland,New Zealand,and the Department of Surgery,University of Auckland.
authors.forename: R P
authors.initials: RP
authors.lastname: Morton
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004238:Diverticulitis / Q000601:surgery*; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D010609:Pharyngeal Muscles / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D012189:Retrospective Studies; D016672:Zenker Diverticulum / Q000601:surgery*
keywords: Endoscopic Stapling; Inversion; Length Of Stay; Pharyngeal Pouch Syndrome; Recurrence; Zenker Diverticulum