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KMID : 0364019920250121537
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Korean Journal of Thoracic and Cardiovascular Surgery
1992 Volume.25 No. 12 p.1537 ~ p.1541
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Surgical Treatment of the Esophagela Diverticula
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이계영
장원채/안병희/오봉석/김상형/이동준
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Abstract
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Eleven patients with esophageal diverticulum were operated on between August 1982 and August 1992 at the Department of Thoracic and Cardiovascular Surgery of Chonnam National University Hospital have been studied.
9 patients were male and 2 were famale and the age distribution was between 20 and 55 years. Various subjective symptoms were noticed preoperatively. Diagnosis was confirmed by esophagography. The types of esophageal diverticulum were traction
type
in 6
cases and pulsion type in 5 cases. There were nine cases of midesophageal diverticula, 1 case of upper-thoracic esophageal diverticulum and 1 cases of epiphrenic diverticulum.
Diverticulectomy alone in 10 cases and diverticulopexy was performed in 1 case. Fistulectomy in 5 cases, lobectomy in 1 case, segmentectomy in 1 case, and Eloesser's procedure in 1 case were performed with associated procedures.
There were no death or morbidity and all patients have achieved marked improvement of symptoms except three patients who had a concomitant mucoepidermoid tumor, had a complicated postoperative pyothorax, and had a postoperative recurrence of
midesophageal diverticulum. Recurrence of symptoms were not noticed during follow up except 1 recurrence of diverticulum confirmed by esophagogram.
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KEYWORD
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