Kumagai Ryosuke, Kabemura Shinsaku, Kojima Fumitsugu, Bando Toru
Department of Thoracic Surgery, St Luke's International Hospital, Tokyo, Japan.
Interdiscip Cardiovasc Thorac Surg. 2024 Oct 8;39(4). doi: 10.1093/icvts/ivae164.
Symptomatic unilateral diaphragmatic eventration require surgical intervention. A 56-year-old woman complained of dyspnoea on exertion and was noted to have left diaphragm elevation on chest radiographs. Dynamic magnetic resonance imaging showed paradoxical movement of the left diaphragm. We performed diaphragmatic plication by uniportal thoracoscopy with knifeless endostaplers and a loop needle device. Her symptoms significantly improved immediately after the operation, and this condition had been maintained for 6 months. We thus suggest this minimally invasive technique as an easy and safe method for diaphragmatic plication.
有症状的单侧膈膨升需要手术干预。一名56岁女性主诉劳力性呼吸困难，胸部X线片显示左膈抬高。动态磁共振成像显示左膈反常运动。我们采用单孔胸腔镜，使用无刀腔内吻合器和套针装置进行膈折叠术。术后她的症状立即明显改善，且这种状况持续了6个月。因此，我们建议将这种微创技术作为一种简便、安全的膈折叠术方法。
