XXXX : Rotterdam experience.

@entity1 @entity15809
UNASSIGNED: Different surgical techniques exist for the treatment of @entity15809 ( @entity15809 ), of which minimally invasive techniques have become the standard. We reviewed our experience with management and treatment of @entity15809 and sought to determine what type of treatment is most effective and efficient. We selected @entity1 who underwent treatment for @entity15809 between January 2004 and January 2014 at our tertiary referral center. All procedures were performed by ENT surgeons. The medical records were reviewed for pre- and intraoperative characteristics and follow-up. Of our 94 @entity1 (58 male, 36 female), 75 underwent endoscopic cricopharyngeal myotomy (42 stapler, 33 laser) and 6 received treatment via transcervical approach. 13 interventions were aborted. Mean operating time was 49.0  min for stapler, 68.3 for laser and 124.0 for the transcervical approach. Its respective median post-operative admission durations were 2.0, 3.0 and 3.0  days. After the first treatment, of the 75 endoscopic procedures, 45 @entity1 (23 stapler, 22 laser) had complete symptom resolution. In the transcervical group 4 (67  %) @entity1 were symptom free and one @entity1 died of complications. In the endoscopically treated @entity1 , ten complications occurred, of which 8 G1 and 2 G2 (Clavien Dindo classification). In the transcervical group 2 complications occurred, 1 G3b and 1 G5. Both endoscopic techniques provide efficient management of @entity15809 with the stapler-assisted modality providing a shorter surgery duration and hospital admission. Although there is no significant difference in terms of complications or recurrence rates for both endoscopic techniques, it seems that stapler @entity1 are at higher risk of having a re-intervention and of having more severe complications.
