Ikeya T, Sugiyama S, Koyama S, Hara H, Doki Y, Misaki T
First Department of Surgery, Toyama Medical and Pharmaceutical University, Toyama, Japan.
Kyobu Geka. 2003 May;56(5):415-8.
Two cases of traumatic diaphragmatic hernia treated by video-assisted thoracic surgery (VATS) were experienced. Both a 67-year-old female (left side) and a 44-year-old female (right side) was admitted to our hospital in a traffic accident. These patients were diagnosed as diaphragmatic hernia by chest magnetic resonance imaging (MRI). We tried VATS to this trauma, but the combined mini-thoracotomy for 7 cm in length was necessary to replace sliding organs for both cases. The rupture of diaphragm was repaired by direct suture of 2-0 viclyl. VATS will be recommended in the hernia of the diaphragm.
我们遇到了两例采用电视辅助胸腔镜手术(VATS)治疗的创伤性膈疝病例。一名67岁女性(左侧)和一名44岁女性(右侧)均因交通事故入院。这些患者通过胸部磁共振成像(MRI)被诊断为膈疝。我们尝试对这种创伤采用VATS,但两例患者均需要联合进行7厘米长的小切口开胸手术来复位滑动器官。膈肌破裂通过2-0薇乔线直接缝合进行修复。对于膈疝,推荐采用VATS。