Surgically treated Zenker’s diverticulum： Diverticulectomy and cricopharyngeal myotomy

Zenkerʼs diverticulum is a very rare disease among gastorointestinal diverticulum . We report a case of Zenkerʼs diverticulum successfully treated with diverticulectomy and cricophalyngial myotomy . A 71- year - old male complained of aspirating water for two years . He was diagnosed as Zenkerʼs diverticulum . Due to his severe symptoms , the operation was performed in an open - neck approach . The left recurrent laryngeal nerve was identified and preserved . An incision was made in the diverticulum wall , and the internal diameter of normal cervical esophagus was measured . The diverticulum was then excised with an automatic suture device in the minor axis direction of the esophagus . A cricopharyngeal myotomy was conducted , because this muscle was fibrotic and stiffened . The patientʼs symptoms disappeared after the operation . Diverticulectomy and cricopharyngeal myotomy through an open - neck approach is a safe and reliable method that follows , direct access to the diverticulum and recurrent laryngeal nerve