Iatrogenic perforation in endoscopic stapling diverticulotomy for pharyngeal pouches

S Mirza, S N Dutt, R M Irving
Journal of Laryngology and Otology 2003, 117 (2): 93-8
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.

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