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Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations
OBJECTIVE: The use of laparoscopy in urology is increasing. Tumor of the kidney or adrenal gland and, in some cases, metastatic disease can involve the diaphragm. We describe the application of laparoscopic suturing techniques in the case of diaphragmatic involvement with a renal tumor. METHODS: Aft...
Autores principales: | , , , |
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Formato: | Texto |
Lenguaje: | English |
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Society of Laparoendoscopic Surgeons
2001
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015446/ https://www.ncbi.nlm.nih.gov/pubmed/11548837 |
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author | Rehman, Jamil Landman, Jaime Kerbl, Kurt Clayman, Ralph V. |
author_facet | Rehman, Jamil Landman, Jaime Kerbl, Kurt Clayman, Ralph V. |
author_sort | Rehman, Jamil |
collection | PubMed |
description | OBJECTIVE: The use of laparoscopy in urology is increasing. Tumor of the kidney or adrenal gland and, in some cases, metastatic disease can involve the diaphragm. We describe the application of laparoscopic suturing techniques in the case of diaphragmatic involvement with a renal tumor. METHODS: After resection of the tumor and a small area of the diaphragm, a chest tube was placed under laparoscopic guidance. The tube was kept clamped until the end of the procedure. Decreasing intraabdominal pneumoperitoneum pressure made suturing easier with less tension on the edges of the diaphragmatic incision. Nonabsorbable interrupted horizontal mattress sutures were placed to close the diaphragmatic defect. RESULTS: The repair was uneventful; no intraoperative complications occurred. Extubation was done at the end of the procedure in the operating room. The chest tube was removed on postoperative day 2, and the patient was discharged on postoperative day 3. CONCLUSIONS: Laparoscopic repair of the diaphragm should be commensurate with traditional open surgical principles. In this regard, it is essential that surgeons interested in performing “advanced” laparoscopic onco-logic surgery become facile in laparoscopic suturing. |
format | Text |
id | pubmed-3015446 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2001 |
publisher | Society of Laparoendoscopic Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-30154462011-02-17 Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations Rehman, Jamil Landman, Jaime Kerbl, Kurt Clayman, Ralph V. JSLS Case Reports OBJECTIVE: The use of laparoscopy in urology is increasing. Tumor of the kidney or adrenal gland and, in some cases, metastatic disease can involve the diaphragm. We describe the application of laparoscopic suturing techniques in the case of diaphragmatic involvement with a renal tumor. METHODS: After resection of the tumor and a small area of the diaphragm, a chest tube was placed under laparoscopic guidance. The tube was kept clamped until the end of the procedure. Decreasing intraabdominal pneumoperitoneum pressure made suturing easier with less tension on the edges of the diaphragmatic incision. Nonabsorbable interrupted horizontal mattress sutures were placed to close the diaphragmatic defect. RESULTS: The repair was uneventful; no intraoperative complications occurred. Extubation was done at the end of the procedure in the operating room. The chest tube was removed on postoperative day 2, and the patient was discharged on postoperative day 3. CONCLUSIONS: Laparoscopic repair of the diaphragm should be commensurate with traditional open surgical principles. In this regard, it is essential that surgeons interested in performing “advanced” laparoscopic onco-logic surgery become facile in laparoscopic suturing. Society of Laparoendoscopic Surgeons 2001 /pmc/articles/PMC3015446/ /pubmed/11548837 Text en © 2001 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way. |
spellingShingle | Case Reports Rehman, Jamil Landman, Jaime Kerbl, Kurt Clayman, Ralph V. Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title | Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title_full | Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title_fullStr | Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title_full_unstemmed | Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title_short | Laparoscopic Repair of Diaphragmatic Defect By Total Intracorporeal Suturing: Clinical and Technical Considerations |
title_sort | laparoscopic repair of diaphragmatic defect by total intracorporeal suturing: clinical and technical considerations |
topic | Case Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015446/ https://www.ncbi.nlm.nih.gov/pubmed/11548837 |
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