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Complete thoracoscopic diaphragm plication using carbon dioxide insufflation: report of a case
Takahiro Homma1, Yutaka Yamamoto, Yoshinori Doki
1Division of Thoracic Surgery, Joetsu General Hospital, 148-1 Daido-Fukuda, Joetsu, Niigata, 943-8507, Japan, hommat.tym@gmail.com.
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.
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