Complete thoracoscopic diaphragm plication using carbon dioxide insufflation: report of a case.

Abstract

Diaphragm plication has become the accepted treatment for major respiratory impairment caused by diaphragmatic eventration and paralysis. Various open and minimally invasive plication techniques have been described and while video-assisted thoracoscopic diaphragm plication appears to be a safe and effective alternative to open surgery, the workspace is limited. We describe how we performed complete thoracoscopic diaphragm plication using carbon dioxide (CO2) insufflation for a patient with unilateral diaphragmatic eventration. Using CO2 insufflation seems to dramatically improve the workspace.

• Authors: Takahiro Homma, Yutaka Yamamoto, Yoshinori Doki, Kazutaka Senda, Masayoshi Touge, Toshihiro Ojima, Yoshifumi Shimada, Naoki Yoshimura
• Journal: Surgery today (Surg Today) Vol. 45 Issue 7 Pg. 915-8 (Jul 2015) ISSN: 1436-2813 [Electronic] Japan
• PMID: 25104054 (Publication Type: Case Reports, Journal Article)

Chemical References

• Carbon Dioxide

Topics

• Aged
• Carbon Dioxide
• Diaphragm (surgery)
• Diaphragmatic Eventration (surgery)
• Female
• Humans
• Insufflation
• Thoracic Surgery, Video-Assisted (methods)