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Abdominal compartment syndrome after robotic-assisted thoracoscopic surgery (RATS) diaphragm plication
Chen C Fang1, Sanjeet Singh Avtaar Singh1,2, Malcolm Will1
1Department of Cardiothoracic Surgery, Royal Infirmary of Edinburgh, Edinburgh, United Kingdom.
Journal of Surgical Case Reports
|February 23, 2026
Summary
This case study reports the first instance of abdominal compartment syndrome after robotic-assisted thoracoscopic diaphragm plication. Conservative management was successful in this rare complication following the minimally invasive procedure.
Area of Science:
- Thoracic Surgery
- Minimally Invasive Procedures
- Gastroenterology
Background:
- Diaphragm plication is a treatment for diaphragmatic paralysis.
- Robotic-assisted thoracoscopic (RATS) diaphragm plication offers a less invasive approach with improved lung function.
- Abdominal compartment syndrome (ACS) is a critical condition characterized by elevated intra-abdominal pressure.

