Technical surgical achievements occasionally precede knowledge as to indications for, and results of, operations. Successful operations for diverticula of the lower part of the esophagus have been reported frequently, but there are insufficient data available on which to base a sound appraisal as to the place of surgical treatment in the management of patients with these diverticula. In hopes of adding to the information at present in the literature concerning these matters, we are reporting our experience at the Mayo Clinic with the surgical management of cases of diverticulum of the lower part of the esophagus, and in another communication1 the experience with nonsurgical management of such cases is being reported. Emphasis is laid on morbidity and long-term results following operation.
During the 10-year period from 1944 through 1953, there were 201 patients with lower esophageal diverticula seen at the clinic. Of these, 24 underwent transthoracic removal of lower