Iatrogenic diaphragmatic hernia after thoracic surgery treated by laparoscopic approach : A case report Kenji MATSUMOTO 1 , Hiroharu SHINOZAKI 1 , Masazumi INOUE 1 , Toshiaki TERAUCHI 1 , Atsushi TAJIMA 2 , Masaru KIMATA 1 11Department of Surgery, Saiseikai Utsunomiya Hospital 2Department of Thoracic Surgery, Saiseikai Utsunomiya Hospital Keyword: 医原性横隔膜ヘルニア , 腹腔鏡下横隔膜修復術 pp.37-43
Published Date 2020/1/15
DOI https://doi.org/10.11477/mf.4426200769
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 A 53-year-old man underwent thoracoscopic left upper lobectomy with S8 partial resection for lung cancer. The patient had epigastric pain five days after surgery. Chest X-ray and abdominal computed tomography scan revealed herniation of the stomach and greater omentum into the left thoracic cavity, and an iatrogenic diaphragmatic hernia was diagnosed. Laparoscopic repair of the hernia was performed. The incarcerated stomach and greater omentum were identified at the hernia orifice. After freeing of adhesions and reducing the contents into the abdomen, the hernia orifice was closed with sutures and the hiatus was repaired with disk-shaped mesh. Laparoscopic repair of diaphragmatic hernia was safely performed with good clinical outcome.

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