title: [Diaphragm reconstruction after extrapleural pneumonectomy].
abstract: Extrapleural pneunonectomy with resection of the diaphragm only offers acceptable therapeutic results in patients with malignant diseases of the pleura and the lung. The standard procedures for diaphragm reconstruction consist of the use of biomaterials and prosthetic patches. We retrospectively reviewed techniques and results in 4 patients where the pedicled latissimus dorsi flap, the expanded polytetrafluoroethylene (ePTFE) sheet and the composite mesh sheet consisting of the ePTFE sheet and 2 layers of polypropylene mesh sheets were successfully used to replace the resected diaphragm. When we evaluated such biomaterials and prosthetic patches, the ePTFE sheet was superior in the time of reconstruction to other materials although it was expensive. The pedicled latissimus dorsi flap did not apply to patient with poor muscle volume. In conclusion, the ePTFE sheet widely applies to every patient who requires diaphragm reconstruction after extrapleural pneumonectomy.
authors.affiliation: Department of Thoracic Surgery, Shin-Kokura Hospital, Kitakyusyu, Japan.
authors.forename: Ryoichi
authors.initials: R
authors.lastname: Nakanishi
authors.forename: H
authors.initials: H
authors.lastname: Nishikawa
authors.forename: S
authors.initials: S
authors.lastname: Nagata
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000293:Adolescent; D000328:Adult; D000368:Aged; D002294:Carcinoma, Squamous Cell / Q000601:surgery; D003964:Diaphragm / Q000601:surgery*; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D008297:Male; D008654:Mesothelioma / Q000601:surgery; D008875:Middle Aged; D010997:Pleural Neoplasms / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods