title: En bloc stapled diaphragmatic resection for local invasion during hepatectomy: a simple technique without opening the pleural cavity.
abstract: Diaphragmatic invasion is not uncommon in patients undergoing hepatectomy for liver tumors. Where there are limited attachments of the diaphragm to the tumor, the authors describe a stapled technique for en bloc resection of the diaphragm without opening the chest cavity, thus performing an oncologic resection, while avoiding the need for pleural drainage.
authors.affiliation: AP-HP, Department of Surgery, Henri Mondor University Hospital, 51, av du Maréchal de Lattre-de-Tassigny, 94010 Créteil Cedex, France. mehdi.karoui@hmn.aphp.fr
authors.forename: Mehdi
authors.initials: M
authors.lastname: Karoui
authors.forename: Claude
authors.initials: C
authors.lastname: Tayar
authors.forename: Alexis
authors.initials: A
authors.lastname: Laurent
authors.forename: Daniel
authors.initials: D
authors.lastname: Cherqui
mesh_terms: D003964:Diaphragm / Q000473:pathology / Q000601:surgery*; D006498:Hepatectomy / Q000379:methods*; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology* / Q000601:surgery; D009361:Neoplasm Invasiveness; D035422:Pleural Cavity; D011030:Pneumothorax / Q000517:prevention & control; D012307:Risk Factors; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures