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.
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.
Juretzka
Margrit M
MM
Gynecology Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA.
Horton
Faith R
FR
Abu-Rustum
Nadeem R
NR
Sonoda
Yukio
Y
Jarnagin
William R
WR
Flores
Raja M
RM
Barakat
Richard
R
Chi
Dennis S
DS
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
D011138:Polytetrafluoroethylene