Cargando…
Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report
BACKGROUND: Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve (RLN) is high during surgical resection of Killian-Jamieson diverticulum because the RLN usually runs next to the base of the diverticulum. We prese...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044391/ https://www.ncbi.nlm.nih.gov/pubmed/32103391 http://dx.doi.org/10.1186/s40792-020-00805-0 |
_version_ | 1783501561207455744 |
---|---|
author | Ataka, Ryo Tsunoda, Shigeru Goto, Saori Nishigori, Tatsuto Hisamori, Shigeo Obama, Kazutaka Sakai, Yoshiharu |
author_facet | Ataka, Ryo Tsunoda, Shigeru Goto, Saori Nishigori, Tatsuto Hisamori, Shigeo Obama, Kazutaka Sakai, Yoshiharu |
author_sort | Ataka, Ryo |
collection | PubMed |
description | BACKGROUND: Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve (RLN) is high during surgical resection of Killian-Jamieson diverticulum because the RLN usually runs next to the base of the diverticulum. We present a case of Killian-Jamieson diverticulum that was safely resected with effective use of an intraoperative nerve monitoring (IONM) system with a handheld stimulating probe to prevent RLN injury. CASE PRESENTATION: A 69-year-old man complaining of dysphagia was diagnosed with Killian-Jamieson diverticulum and underwent open transcervical diverticulectomy. Because the anterior aspect of the diverticulum was expected to be close to the RLN, the accurate location of the RLN was checked during dissection by intermittent stimulation using a handheld probe of the IONM system to avoid mechanical and thermal injury. The diverticulum was transected longitudinally using a linear stapler, and the staple line was buried using absorbable sutures from the distal end. During its closure, RLN was identified very close to the diverticulum stump by IONM, and the upper side of the stump was left unburied to avoid RLN injury. The postoperative course was uneventful and the patient was discharged on postoperative day 7. Postoperative evaluation showed no vocal cord paralysis. CONCLUSION: IONM may be beneficial during open surgery for Killian-Jamieson diverticulum, which usually protrudes just lateral to the RLN. |
format | Online Article Text |
id | pubmed-7044391 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-70443912020-03-13 Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report Ataka, Ryo Tsunoda, Shigeru Goto, Saori Nishigori, Tatsuto Hisamori, Shigeo Obama, Kazutaka Sakai, Yoshiharu Surg Case Rep Case Report BACKGROUND: Killian-Jamieson diverticulum is a rare pharyngoesophageal diverticulum. The risk of intraoperative injury of the recurrent laryngeal nerve (RLN) is high during surgical resection of Killian-Jamieson diverticulum because the RLN usually runs next to the base of the diverticulum. We present a case of Killian-Jamieson diverticulum that was safely resected with effective use of an intraoperative nerve monitoring (IONM) system with a handheld stimulating probe to prevent RLN injury. CASE PRESENTATION: A 69-year-old man complaining of dysphagia was diagnosed with Killian-Jamieson diverticulum and underwent open transcervical diverticulectomy. Because the anterior aspect of the diverticulum was expected to be close to the RLN, the accurate location of the RLN was checked during dissection by intermittent stimulation using a handheld probe of the IONM system to avoid mechanical and thermal injury. The diverticulum was transected longitudinally using a linear stapler, and the staple line was buried using absorbable sutures from the distal end. During its closure, RLN was identified very close to the diverticulum stump by IONM, and the upper side of the stump was left unburied to avoid RLN injury. The postoperative course was uneventful and the patient was discharged on postoperative day 7. Postoperative evaluation showed no vocal cord paralysis. CONCLUSION: IONM may be beneficial during open surgery for Killian-Jamieson diverticulum, which usually protrudes just lateral to the RLN. Springer Berlin Heidelberg 2020-02-26 /pmc/articles/PMC7044391/ /pubmed/32103391 http://dx.doi.org/10.1186/s40792-020-00805-0 Text en © The Author(s) 2020 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Case Report Ataka, Ryo Tsunoda, Shigeru Goto, Saori Nishigori, Tatsuto Hisamori, Shigeo Obama, Kazutaka Sakai, Yoshiharu Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title | Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title_full | Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title_fullStr | Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title_full_unstemmed | Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title_short | Killian-Jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
title_sort | killian-jamieson diverticulum safely resected using a manual intraoperative neural monitoring system: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7044391/ https://www.ncbi.nlm.nih.gov/pubmed/32103391 http://dx.doi.org/10.1186/s40792-020-00805-0 |
work_keys_str_mv | AT atakaryo killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT tsunodashigeru killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT gotosaori killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT nishigoritatsuto killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT hisamorishigeo killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT obamakazutaka killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport AT sakaiyoshiharu killianjamiesondiverticulumsafelyresectedusingamanualintraoperativeneuralmonitoringsystemacasereport |