Division of General Thoracic Surgery, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland.
Multimed Man Cardiothorac Surg. 2020 Sep 29;2020. doi: 10.1510/mmcts.2020.054.
Diaphragmatic paralysis with subsequent eventration and respiratory compromise has a huge impact on the quality of life of affected patients. Many different surgical approaches for correcting this problem have been described in the past, using both transabdominal and transthoracic pathways. Either way, since the procedure in general requires suturing of the diaphragm, minimally invasive techniques have only been adopted very slowly and most thoracic surgeons nowadays still use a minithoracotomy, even when adopting a video-assisted approach. We have developed a safe and simple completely thoracoscopic technique for diaphragmatic plication, and in this video tutorial we demonstrate our technique.
膈肌瘫痪伴随后继的膈肌膨出和呼吸功能障碍会极大地影响患者的生活质量。过去已经描述了许多不同的手术方法来纠正这个问题，包括经腹和经胸途径。无论哪种方式，由于该手术通常需要缝合膈肌，因此微创技术的采用一直非常缓慢，现在大多数胸外科医生仍然使用小开胸术，即使采用视频辅助方法也是如此。我们已经开发出一种安全且简单的完全胸腔镜膈肌折叠术，在本视频教程中，我们将展示我们的技术。
