Xun Zhang, MD, Shizhao Cheng, MD, Yijun Xu, MD, Shunhua Wang, MD

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Treatment of Giant Pharyngoesophageal Diverticulum by Video-Assisted Thoracoscopy Xun Zhang, MD, Shizhao Cheng, MD, Yijun Xu, MD, Shunhua Wang, MD The Annals of Thoracic Surgery Volume 97, Issue 6, Pages 2184-2186 (June 2014) DOI: 10.1016/j.athoracsur.2013.08.063 Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Preoperative and postoperative barium swallow radiographs. (A) Preoperative barium swallow radiograph shows significant retention of barium in a massive Zenker’s diverticulum, reaching the carina (10.0 × 6.0 cm), with minimal conduction of barium into the distal esophageal lumen. (B) Postoperative barium swallow radiograph demonstrates free flow of barium into the esophagus and shrinkage of the hypopharyngeal dilatation. The Annals of Thoracic Surgery 2014 97, 2184-2186DOI: (10.1016/j.athoracsur.2013.08.063) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Surgical procedures with video-assisted thoracoscopic surgery. (A) An esophagostomy was made on the side wall of the esophagus facing the tip of the diverticulum. A diverticulum ostomy was made at the tip of the diverticulum. Next, an Endo-GIA 60 stapler (Ethicon Endosurg) was used to staple the common septum between the diverticulum and the esophagus in the midline. (B) With a single application of the Endo stapler, the side wall of the esophagus was sutured to the side wall of the diverticulum, creating a common cavity. (DIV. = diverticulum; ESO. = esophagus.) The Annals of Thoracic Surgery 2014 97, 2184-2186DOI: (10.1016/j.athoracsur.2013.08.063) Copyright © 2014 The Society of Thoracic Surgeons Terms and Conditions