Laparoscopic Robot-Assisted Diaphragm Plication.

Journal Article (Journal Article)

Minimally invasive approaches to diaphragm plication for eventration include thoracoscopic and laparoscopic techniques. The elevated hemidiaphragm and ribs limit thoracoscopic techniques. We report our modification of the laparoscopic approach using robotic assistance with the da Vinci Surgical System, (Intuitive Surgical Inc, Sunnyvale, CA) to avoid single-lung ventilation, facilitate exposure, and allow more precise placement of plication sutures to achieve an even tension and maximum plication. Critical steps include creation of a small defect in the diaphragm to equalize pressures between cavities and placement of multiple, pledgeted interrupted horizontal mattresses.

Full Text

Duke Authors

Cited Authors

  • Zwischenberger, BA; Kister, N; Zwischenberger, JB; Martin, JT

Published Date

  • January 2016

Published In

Volume / Issue

  • 101 / 1

Start / End Page

  • 369 - 371

PubMed ID

  • 26694286

Electronic International Standard Serial Number (EISSN)

  • 1552-6259

Digital Object Identifier (DOI)

  • 10.1016/j.athoracsur.2015.05.118


  • eng

Conference Location

  • Netherlands