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Diaphragmatic repair of hepatic hydrothorax with VATS after abdominal insufflation with CO 2
Author(s) -
Nakamura Y,
Iwazaki M,
Yasui N,
Seki H,
Matsumoto H,
Masuda R,
Nishiumi N,
Shimada A
Publication year - 2012
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/j.1758-5910.2012.00133.x
Subject(s) - medicine , insufflation , surgery , hydrothorax , diaphragmatic breathing , pleural effusion , diaphragm (acoustics) , thoracic cavity , cirrhosis , anesthesia , gastroenterology , ascites , physics , alternative medicine , pathology , acoustics , loudspeaker
Hepatic hydrothorax is defined as the presence of a significant pleural effusion that develops in a patient with cirrhosis of the liver who does not have an underlying cardiac or pulmonary disease. There have been few published case reports dealing with hepatic hydrothorax treated surgically. Recently, we treated a patient with refractory hepatic hydrothorax by directly suturing the diaphragmatic defect during VATS . During surgery, the diaphragmatic defect was identified by using abdominal insufflation with CO 2 . The defect was sutured and the diaphragm was covered by polyglycolic acid felt and fibrin glue. After surgery, the patient's pleural effusion improved, his postoperative course was uneventful and he did not require a drainage tube at discharge.