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Japanese

Bilateral congenital eventration of the diaphragms treated with laparoscopic plication Akihide SUGIYAMA 1 , Naoto URUSHIHARA 1 , Kouji FUKUMOTO 1 , Hiroaki FUKUZAWA 1 , Hideki NAGAE 1 , Kentarou WATANABE 1 1Department of Pediatric Surgery, Shizuoka Children's Hospital Keyword: 先天性横隔膜挙上症 , 腹腔鏡 , 両側 pp.525-530
Published Date 2011/8/15
DOI https://doi.org/10.11477/mf.4426100671
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 Bilateral congenital diaphragmatic eventration is rare, and the mortality rate is higher than that for unilateral eventration. We report a patient with bilateral congenital diaphragmatic eventration treated with laparoscopic plication. A 2.9kg male infant was born at 40 weeks. He had respiratory distress at 1 day after birth and required respiratory assistance for 4 days. Chest X-ray showed bilateral diaphragmatic eventration. At 4 months of age, he underwent laparoscopic surgery for bilateral congenital diaphragmatic plication. Laparoscopic diaphragmatic placation was performed in the supine position under general anesthesia. A 5mm trocar for laparoscope was inserted in paraumbilical incision. Three additional working ports were placed in the upper abdomen. The bilateral diaphragms appeared loose and reduced in thickness, and were easily extended upon gripping with forceps. We sawed the bilateral diaphragms to generate adequate tension by a U-stitch or single knot with non absorbable 2-0 sutures. The postoperative course was uneventful, and his respiratory problems were soon resolved after operation. Laparosopic surgery for bilateral congenital diaphragmatic eventration is a useful minimally invasive surgical technique.


Copyright © 2011, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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