Tension-free thoracoscopic repair of congenital diaphragmatic hernia combined with a percutaneous extracorporeal closure technique: how to do it

被引：7

作者：

Deguchi, Koichi ^{[1
]}

Watanabe, Miho ^{[1
]}

Yoneyama, Tomohisa ^{[1
]}

Masahata, Kazunori ^{[1
]}

Nomura, Motonari ^{[1
]}

Saka, Ryuta ^{[1
]}

Yamanaka, Hiroaki ^{[1
]}

Kamiyama, Masafumi ^{[1
]}

Ueno, Takehisa ^{[1
]}

Tazuke, Yuko ^{[1
]}

Okuyama, Hiroomi ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Pediat Surg, 2-2 Yamadaoka, Suita, Osaka, Japan

来源：

SURGERY TODAY | 2023年 / 53卷 / 05期

关键词：

Congenital diaphragmatic hernia; Thoracoscopic surgery; Recurrence; COMPLICATIONS; RECURRENCE; CDH;

D O I：

10.1007/s00595-022-02609-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Purpose Thoracoscopic repair (TR) of congenital diaphragmatic hernia (CDH) is associated with a higher recurrence rate than the conventional open method. We evaluated the effectiveness of our strategy for quality improvement, named "tension-free TR of CDH". Methods The subjects of this retrospective analysis were 11 consecutive patients with CDH who underwent TR at our hospital between 2017 and 2021. Tension-free TR of CDH included the proactive use of an oversized patch for dome-shaped reconstruction and gapless suturing. We developed a percutaneous extracorporeal closure technique for secure suturing using a commercially available needle. Results Patch repair was performed in 8 (73%) patients and none required conversion to open surgery because of technical difficulties. Recurrence developed in one patient (9%), who underwent successful reoperation via TR. All patients had an uneventful postoperative course. Conclusion Tension-free TR combined with extracorporeal closure could reduce the difficulty of suturing and the risk of recurrence of CDH.

引用

页码：640 / 646

页数：7

共 25 条

[21] Laparoscopic percutaneous extraperitoneal closure for inguinal hernia in children: clinical outcome of 972 repairs done in 3 pediatric surgical institutions [J].