The omohyoid muscle was divided and the deep cervical fascia was opened between the lateral border of the strap muscles and the sternocleidomastoid. The middle thyroid vein was divided see Thyroid Anatomy) and the carotid sheath exposed.
The recurrent laryngeal nerve was identified in the tracheoesophageal groove and preserved. The broad-based diverticulum was identified on the lateral wall of the esophagus. A gastroscope was passed, and insufflation expanded the diverticulum. The scope was passed beyond the diverticulum and left in place as a stent.
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