Thomas Reju Joseph, Kishore Ravi, Kisku Sundeep
Department of Pediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.
J Indian Assoc Pediatr Surg. 2011 Jul;16(3):97-8. doi: 10.4103/0971-9261.83486.
It is difficult to suture an extremely thin and billowed up congenital eventration of the diaphragm thoracoscopically, without insufflation.
The authors describe their technique using an intestinal clamp to control the redundant tissue and a feeding tube as a flexible knot pusher, to perform the thoracoscopic plication without risking hypercapnia.
A satisfactory result was obtained in all the four children.
This is a useful adjunctive for thoracoscopic plication of diaphragmatic eventration.
在不进行气腹的情况下，通过胸腔镜缝合极薄且膨出的先天性膈膨升是困难的。
作者描述了他们的技术，即使用肠钳控制多余组织，并使用饲管作为灵活的打结推送器，以进行胸腔镜折叠术而不冒高碳酸血症的风险。
所有四名儿童均获得了满意的结果。
这是胸腔镜膈膨升折叠术的一种有用辅助方法。
