Behind The Knife: The Surgery Podcast Behind the Knife ABSITE 2026 - Quick Hits 3
Jan 22, 2026
This engaging discussion covers esophageal anatomy and the nuances of surgical approaches for various locations. It dives into the management techniques for Zenker's diverticulum, comparing endoscopic and open methods. The podcast also explores the rising prevalence of adenocarcinoma in the U.S. and discusses nutritional deficiencies post-bypass surgery. Attendees can expect insights on liver anatomy variants, cirrhosis assessments, and risks associated with hepatic adenomas. Overall, it’s packed with invaluable surgical insights and practical tips.
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Side Selection For Esophageal Access
- Use side-specific approaches for surgical esophageal access based on location.
- Go left for the neck, right for the upper two-thirds of the chest, and left for the distal third.
Key Esophageal Structural Points
- The esophagus lacks serosa and has mixed muscle types along its length.
- Upper third is striated muscle, lower two-thirds are smooth, and the LES sits ~40 cm from the incisors.
Managing Zenker's Diverticulum
- Treat a Zenker's diverticulum with cricopharyngeal myotomy or resection.
- Choose open repair if <3 cm or limited neck extension; endoscopic repair if >3 cm and anatomy allows.
