医学
二氧化碳激光器
外科
穿孔
憩室(软体动物)
并发症
荟萃分析
内窥镜检查
泽克憩室
激光手术
吞咽困难
激光器
内科学
冶金
材料科学
物理
冲孔
光学
作者
D Edwards,Eduard Prades,C. J. R. Thorne,A. Sidney Harris
出处
期刊:Journal of Laryngology and Otology
[Cambridge University Press]
日期:2022-11-16
卷期号:137 (7): 718-724
被引量:1
标识
DOI:10.1017/s0022215122002377
摘要
Abstract Objective A literature review and meta-analysis was performed to assess for difference in rate of complications and need for revision surgery between endoscopic stapler-assisted diverticulotomy and endoscopic carbon dioxide laser diverticulotomy. The hypothesis was that endoscopic stapler-assisted diverticulotomy has a lower complication rate but endoscopic carbon dioxide laser diverticulotomy has a lower need for revision surgery. Method This was a systematic review of English-language studies comparing endoscopic stapler-assisted diverticulotomy and endoscopic carbon dioxide laser diverticulotomy for the treatment of Zenker's diverticulum. Meta-analysis of results with regard to rate of pharyngeal perforation, major post-operative complication and need for re-operation was performed. Results Nine retrospective studies were included with pooled analysis of 417 endoscopic stapler-assisted diverticulotomy and 413 endoscopic carbon dioxide laser diverticulotomy cases. Meta-analysis found no significant difference in rate of pharyngeal perforation, major complication or need for re-operation between the two groups. Conclusion This study demonstrated both endoscopic stapler-assisted diverticulotomy and endoscopic carbon dioxide laser diverticulotomy to be a safe alternative to open surgery for Zenker's diverticulum. Both appear to be similar in terms of adverse events and efficacy. The authors recommend either approach, guided by surgeon's preference and experience, where patients are unsuitable for an open surgery approach.
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