PMID: 29755069May 15, 2018Paper

Plication for Diaphragmatic Eventration by Complete Video-assisted Thoracoscopic

Kyobu geka. The Japanese journal of thoracic surgery
Satoko KogaMasayuki Kojima

Abstract

A 61-year-old woman was admitted to our hospital with progressive dyspnea on exertion. Chest X-rays and computed tomography (CT) showed elevation of the left diaphragm and atelectasis of the left lung. Eventration of the diaphragm was performed. The redundant diaphragm was plicated with vertical mattress sutures and reinforced by the suturing of the remnant diaphragm to the diaphragm near to the chest wall. During the thoracoscopic procedures, thoracoscopic examination from a small part of the resected diaphragm was conducted simultaneously to ensure safety and avoid damage to intra-abdominal organs. After plication, dyspnea on exertion was resolved and the patient was discharged on the 9th post-operative day.

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