title: Full-thickness diaphragmatic resection for stage IV ovarian carcinoma using the EndoGIA stapling device followed by diaphragmatic reconstruction using a Gore-tex graft: a case report and review of the literature.
abstract: BACKGROUND
  Previous studies have reported the results of full-thickness diaphragmatic resection for ovarian cancer metastatic to the diaphragm.
  
  
  METHODS
  : We present the first case of an extensive full-thickness diaphragmatic resection performed using the EndoGIA [US Surgical Corp., Norwalk, CT] staple device followed by successful reconstruction using a Gore-tex (W.L. Gore and Associates, Inc., Newark, DE) graft.
  
  
  CONCLUSIONS
  Full-thickness diaphragmatic resection using the EndoGIA stapling device is a safe and effective method to completely remove extensive tumor during cytoreductive surgery. Use of the stapler expeditiously assists in removal of the specimen with minimal blood loss. In cases where large defects cannot be repaired primarily, a Gore-tex patch should be used.
authors.affiliation: Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
authors.forename: Margrit M
authors.initials: MM
authors.lastname: Juretzka
authors.forename: Faith R
authors.initials: FR
authors.lastname: Horton
authors.forename: Nadeem R
authors.initials: NR
authors.lastname: Abu-Rustum
authors.forename: Yukio
authors.initials: Y
authors.lastname: Sonoda
authors.forename: William R
authors.initials: WR
authors.lastname: Jarnagin
authors.forename: Raja M
authors.initials: RM
authors.lastname: Flores
authors.forename: Richard
authors.initials: R
authors.lastname: Barakat
authors.forename: Dennis S
authors.initials: DS
authors.lastname: Chi
mesh_terms: D000368:Aged; D003964:Diaphragm / Q000601:surgery*; D005260:Female; D006801:Humans; D009367:Neoplasm Staging; D010051:Ovarian Neoplasms / Q000601:surgery*; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures / Q000379:methods*; D017792:Surgical Stapling
chemical_list: D011138:Polytetrafluoroethylene