title: Diaphragmatic repair of hepatic hydrothorax with VATS after abdominal insufflation with CO(2).
abstract: Hepatic hydrothorax is defined as the presence of a significant pleural effusion that develops in a patient with cirrhosis of the liver who does not have an underlying cardiac or pulmonary disease. There have been few published case reports dealing with hepatic hydrothorax treated surgically. Recently, we treated a patient with refractory hepatic hydrothorax by directly suturing the diaphragmatic defect during VATS. During surgery, the diaphragmatic defect was identified by using abdominal insufflation with CO(2) . The defect was sutured and the diaphragm was covered by polyglycolic acid felt and fibrin glue. After surgery, the patient's pleural effusion improved, his postoperative course was uneventful and he did not require a drainage tube at discharge.
authors: Department of Surgery, Keiyu Hospital, Yokohama, Japan. yus_naka@yahoo.co.jp
authors: Y
authors: Y
authors: Nakamura
authors: M
authors: M
authors: Iwazaki
authors: N
authors: N
authors: Yasui
authors: H
authors: H
authors: Seki
authors: H
authors: H
authors: Matsumoto
authors: R
authors: R
authors: Masuda
authors: N
authors: N
authors: Nishiumi
authors: A
authors: A
authors: Shimada
mesh_terms: D000368:Aged; D002245:Carbon Dioxide / Q000008:administration & dosage* / Q000009:adverse effects; D003964:Diaphragm / Q000601:surgery*; D006801:Humans; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D007327:Insufflation / Q000009:adverse effects; D008297:Male; D011028:Pneumoperitoneum, Artificial / Q000009:adverse effects*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed
chemical_list: D002245:Carbon Dioxide