Q6. The usual incision given for Zenker's diverticulum is

a) Left Cervical

b) Right Cervical

c) Suprahyoid

d) Midline

Q7. In Transhiatal Vs Trans thoracic esophagectomy most common complication associated

with THE is

a) Pulmonary

b) Anastomotic leak

c) Bleeding

d) Injury to recurrent laryngeal nerve

Q8 .Which is the most disabling complication after three field esophagectomy?

a) Bronchorrhoea

b) Recurrent laryngeal nerve palsy

c) Tracheal stenosis

Q9. What is the most common complication after esophagectomy

a) Arrythmia

b) Pulmonary Collapse and Consolidation

c) Recurrent laryngeal nerve injury

d) Massive bleeding

Q 10.Most valuable investigation for preoperative evaluation of extensive corrosive stricture is

a) Endoscopic ultrasound

b) Barium study

c) CT Thorax

d) Pharyngoscopy

Answers

6. a

The pharyngoesophageal diverticulum (Zenker’s diverticulum) is the most common esophageal diverticulum. Zenker’s diverticulum usually presents in patients older than 60 years.

Treatment can be done endoscopically or surgically. A commonly used surgical approach is cervical esophagomyotomy and resection of the diverticulum performed through an oblique left cervical incision that parallels the anterior border of the sternocleidomastoid muscle or a transverse cervical incision centered over the cricoid cartilage.

7. b

The transhiatal cervical anastomosis predisposes to a higher rate of leaks (13.6% for transhiatal vs. 7.2% for transthoracic)

Transthoracic resections, which involve a posterolateral thoracotomy, have a higher incidence of pulmonary complications compared with the transhiatal approach

A review of the literature with a meta-analysis,has shown that operative blood loss is significantly less during transhiatal esophagectomy compared with transthoracic esophagectomy

Sabiston surgery 17th edition

8. a

9.b

10.a