title: Complete thoracoscopic diaphragm plication using carbon dioxide insufflation: report of a case.
abstract: Diaphragm plication has become the accepted treatment for major respiratory impairment caused by diaphragmatic eventration and paralysis. Various open and minimally invasive plication techniques have been described and while video-assisted thoracoscopic diaphragm plication appears to be a safe and effective alternative to open surgery, the workspace is limited. We describe how we performed complete thoracoscopic diaphragm plication using carbon dioxide (CO2) insufflation for a patient with unilateral diaphragmatic eventration. Using CO2 insufflation seems to dramatically improve the workspace.
authors.affiliation: Division of Thoracic Surgery, Joetsu General Hospital, 148-1 Daido-Fukuda, Joetsu, Niigata, 943-8507, Japan, hommat.tym@gmail.com.
authors.forename: Takahiro
authors.initials: T
authors.lastname: Homma
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Yamamoto
authors.forename: Yoshinori
authors.initials: Y
authors.lastname: Doki
authors.forename: Kazutaka
authors.initials: K
authors.lastname: Senda
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Touge
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Ojima
authors.forename: Yoshifumi
authors.initials: Y
authors.lastname: Shimada
authors.forename: Naoki
authors.initials: N
authors.lastname: Yoshimura
mesh_terms: D000368:Aged; D002245:Carbon Dioxide; D003964:Diaphragm / Q000601:surgery*; D003965:Diaphragmatic Eventration / Q000601:surgery*; D005260:Female; D006801:Humans; D007327:Insufflation; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*
chemical_list: D002245:Carbon Dioxide
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