ArticleSurgical endoscopy2025
Robotic cricopharyngeal myotomy for the treatment of cricopharyngeal bars.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
introductionFailure of the cricopharyngeal muscle to relax leads to the formation of a cricopharyngeal (CP) bar which causes dysphagia and increased risk for aspiration. Open myotomy is one definitive treatment option; however, there are several drawbacks including a long neck incision, possible drain placement, and invasiveness of the procedure. We aim to share an updated dataset of our experience using the DaVinci robotic platform to perform a minimally invasive CP myotomy, which has never been described before prior to our original dataset.
methodsWe performed a retrospective review of consecutive robotic CP myotomies performed in adult patients by a single surgeon from August 2021 to March 2024. Outcomes of interest included length of procedure, time to diet resumption, hospital length of stay, complications, symptom improvement at follow-up, and symptom recurrence.
resultsTwenty-five robotic CP myotomies were performed. The median age was 72 years old (62-91) and near evenly split between sexes (n = 13 female, 52%) with a median BMI of 28.5 kg/m
conclusionRobotic cricopharyngeal myotomy represents a promising treatment for cricopharyngeal bars with cervical dysphagia with encouraging safety and efficacy.
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