title: Laparoscopic repair of gastric herniation after extrapleural pneumonectomy for mesothelioma.
abstract: Acute herniation of intra-abdominal organs into the chest after extrapleural pneumonectomy is an uncommon but morbid and potentially mortal complication. We report a case of acute diaphragmatic hernia after extrapleural pneumonectomy for mesothelioma repaired laparoscopically. This approach is an alternative to repeated thoracotomy and is a viable option for treatment of this difficult problem with potentially less morbidity.
authors.affiliation: Division of Thoracic Surgery, Swedish Medical Center and Cancer Institute, Seattle, Washington 98104, USA.
authors.forename: Melinda
authors.initials: M
authors.lastname: Egan
authors.forename: Brian E
authors.initials: BE
authors.lastname: Louie
authors.forename: Alexander S
authors.initials: AS
authors.lastname: Farivar
authors.forename: Oliver
authors.initials: O
authors.lastname: Wagner
authors.forename: Eric
authors.initials: E
authors.lastname: Vallières
mesh_terms: D000208:Acute Disease; D001707:Biopsy, Needle; D005500:Follow-Up Studies; D006548:Hernia, Diaphragmatic / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007150:Immunohistochemistry; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008654:Mesothelioma / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D009361:Neoplasm Invasiveness / Q000473:pathology; D009367:Neoplasm Staging; D010997:Pleural Neoplasms / Q000175:diagnosis / Q000601:surgery*; D011013:Pneumonectomy / Q000009:adverse effects* / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D013526:Surgical Mesh; D013536:Suture Techniques; D013718:Tensile Strength; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome