Mini-thoracotomy for diaphragmatic plication with thoracoscopic assistance

Gökçe Şirin,

Gökçe Şirin¹, Ezel Erşen², Salih Pekmezci³, Hasan Tüzün¹

¹İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı,İstanbul
²İstanbul Üniversitesi Cerrahpaşa Tıp Fakültesi, Göğüs Cerrahisi Anabilim Dalı, İstanbul
³Genel Cerrahi Anabilim Dalı, İstanbul

Diaphragma paralysis and evantration is a rare clinical picture in adults. It decreases the ventilation function in infants and adults by 25%. Patients and infants who have significant pulmonary dysfunction cannot tolerate diaphragma paralysis or evantration. For this reason, diaphragma plication is required in these patients. Lung expansion is easily achieved by performing diaphragma plication. In this article, we present our experience in the light of recent literature, in a 46-year-old female patient, who developed diaphragma paralysis and diaphragma evantration after left supraclavicular lymphadenopathy biopsy due to tuberculosis whom we performed thoracoscopy- assisted minithorachotomy together with diaphragma plication.

Keywords : Diaphragm/surgery; respiratory paralysis/surgery; video assisted thoracic surgery

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