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A multi-centre analysis of a decade of endoscopic pharyngeal pouch surgery in Cheshire and Merseyside.

Authors
  • Hampton, T1, 2
  • Allan, J1, 3
  • Pearson, D1, 3
  • Emerson, H1, 4
  • Jones, G H1, 2
  • Junaid, M1, 4
  • Kanzara, T1, 5
  • Lau, A S1, 3
  • Siau, R1, 2
  • Williams, S P1, 6
  • Wilkie, M D1, 2
  • 1 Mersey ENT Trainee Research Collaborative, Liverpool University Hospitals NHS Foundation Trust, UK.
  • 2 Department of ENT Surgery, Liverpool University Hospitals NHS Foundation Trust, UK.
  • 3 Department of ENT Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Birkenhead, UK.
  • 4 Department of ENT Surgery, Warrington and Halton Teaching Hospitals NHS Foundation Trust, Warrington, UK.
  • 5 Department of ENT Surgery, Mid Cheshire Hospitals NHS Trust, Crewe, UK.
  • 6 Department of ENT Surgery, Countess of Chester Hospital NHS Foundation Trust, Chester, UK.
Type
Published Article
Journal
The Journal of Laryngology & Otology
Publisher
Cambridge University Press
Publication Date
Nov 03, 2020
Pages
1–6
Identifiers
DOI: 10.1017/S0022215120002224
PMID: 33138870
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

There are sparse data on the outcomes of endoscopic stapling of pharyngeal pouches. The Mersey ENT Trainee Collaborative compared regional practice against published benchmarks. A 10-year retrospective analysis of endoscopic pharyngeal pouch surgery was conducted and practice was assessed against eight standards. Comparisons were made between results from the tertiary centre and other sites. A total of 225 procedures were performed (range of 1.2-9.2 cases per centre per year). All centres achieved 90 per cent resumption of oral intake within 2 days. All centres achieved less than 2-day hospital stays. Primary success (84 per cent (i.e. abandonment of endoscopic stapling in 16 per cent)), symptom resolution (83 per cent) and recurrence rates (13 per cent) failed to meet the standard across the non-tertiary centres. Endoscopic pharyngeal pouch stapling is a procedure with a low mortality and brief in-patient stay. There was significant variance in outcomes across the region. This raises the question of whether this service should become centralised and the preserve of either tertiary centres or sub-specialist practitioners.

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