Department of Thoracic Surgery, Second Affiliated Hospital of the Zhejiang University School of Medicine, Hangzhou, China.
Department of Thoracic Surgery, Second Affiliated Hospital of the Zhejiang University School of Medicine, Hangzhou, China.
Ann Thorac Surg. 2020 Aug;110(2):e135-e137. doi: 10.1016/j.athoracsur.2020.03.023. Epub 2020 Apr 10.
Surgery for an elevated diaphragm in adults is indicated only for patients with related severe dyspnea, orthopnea, or gastrointestinal problems. Experience in surgically treating eventration in adulthood is limited. Currently, diaphragmatic plication is the most frequently employed technique and should be attempted with minimally invasive approaches. Herein, we report 3 cases of diaphragmatic eventration managed through uniportal video-assisted thoracoscopic surgery stapled resection. These successful attempts provide a technically simple and feasible alternative for the management of diaphragmatic eventration.
成人膈肌抬高的手术指征仅为伴有严重呼吸困难、端坐呼吸或胃肠道问题的患者。成人膈膨升的手术治疗经验有限。目前，膈折叠术是最常采用的技术，应采用微创方法尝试。本文报告了 3 例通过单孔电视辅助胸腔镜手术缝合钉切除治疗的膈膨出病例。这些成功的尝试为膈膨出的处理提供了一种技术简单且可行的替代方法。
