title: Concurrent dual-scopic management of diaphragm disease.
abstract: With the increasing appliance of minimally invasive approaches in both thoracic and general surgery, more and more diaphragmatic conditions are being managed with laparoscopy or thoracoscopy. Which one is adopted depends on the disease, facility support and surgeon's preference. However, in difficult scenarios such as adhesions, uncertain tumour location or bulky herniated organs, addition of another approach could be beneficial. Here we describe 2 cases, one with metastatic tumours within the diaphragm and another with diaphragmatic hernia in which concurrent thoracoscopic and laparoscopic, so-called dual-scopic, management was performed.
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC.
authors.forename: Chang-Lun
authors.initials: CL
authors.lastname: Huang
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC.
authors.forename: Po-Yi
authors.initials: PY
authors.lastname: Liu
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC.
authors.forename: Chin-Yuan
authors.initials: CY
authors.lastname: Cheng
authors.affiliation: Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan, ROC Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan, ROC School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC 156283@cch.org.tw.
authors.forename: Bing-Yen
authors.initials: BY
authors.lastname: Wang
mesh_terms: D000293:Adolescent; D000369:Aged, 80 and over; D006528:Carcinoma, Hepatocellular / Q000556:secondary* / Q000601:surgery*; D003964:Diaphragm / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006548:Hernia, Diaphragmatic / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008113:Liver Neoplasms / Q000473:pathology*; D008297:Male; D019042:Muscle Neoplasms / Q000556:secondary* / Q000601:surgery*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
keywords: Diaphragm; Laparoscopy; Thoracoscopy