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A case of diaphragmatic hernia in a patient with a past history of four abdominal operations for which an operation for repair of the diaphragmatic hernia was performed with Hybrid VATS Senichiro YANAGAWA 1 , Kazuaki TANABE 1 , Nobuaki FUJIKUNI 1 , Yoshihiro MIYATA 2 , Morihito OKADA 2 , Hideki OHDAN 1 1Department of Gastroenterological and Transplant surgery, Applied Life Sciences, Institute of Biomedical and Health Sciences, Hiroshima University 2Department of Surgical Oncology, Research Institute for Radiation Biology and Medicine, Hiroshima University Keyword: 横隔膜ヘルニア , 胸腔鏡補助下手術 , 小開胸 pp.293-298
Published Date 2015/5/15
DOI https://doi.org/10.11477/mf.4426200136
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 There are various treatments ranging from symptomatic therapy to an emergency operation for cases of diaphragmatic hernia depending on the symptoms, and a radical cure is achieved by a surgical operation for repair of the diaphragmatic hernia through a chest approach using thoracoscopy or an abdominal approach using laparoscopy. We decided to perform an operation by a surgical approach that combined muscle-sparing mini-thoracotomy and video-assisted thoracic surgery(Hybrid VATS) for a patient suffering from symptoms of diaphragmatic hernia with constipation and chest unpleasantness who had undergone abdominal operations four times. The patient's postoperative course was uneventful and she was discharged six days after the operation and has continued to receive regular outpatient treatment without recurrence of diaphragmatic hernia. Hybrid VATS is very useful for patients with diaphragmatic hernia who might have strong adhesion in the abdominal cavity that occurred after abdominal operations and for whom it is difficult to reach and repair the diaphragmatic hernia from an abdominal approach.


Copyright © 2015, 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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