Abstract
Laparoscopic and robotic-assisted laparoscopic diaphragm plication is a safe, effective, and minimally invasive surgical alternative to transthoracic approaches. Theoretic advantages of the laparoscopic approach are operative space and potentially less pain, but access to the posterior diaphragm in obese patients is more challenging than via a transthoracic approach. Midterm results with standardized quality of life questionnaires and imaging have shown excellent symptomatic improvement and radiologic confirmation of a persistent diaphragm position. In summary, robotic-assisted laparoscopic diaphragm plication is a good therapeutic alternative to transthoracic approaches.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Versteegh MI, Braum J, Voigt PG, Bosman DB, Stolk J, Rabe KF, Dion RA. Diaphragm plication in adult patients with diaphragm paralysis leads to long-term improvement of pulmonary function and level of dyspnea. Eur J Cardiothoracic Surg. 2007;32(3):449–56.
Freeman RK, Van Woerkom J, Vyverberg A, Ascioti AJ. Long-term follow-up of the functional and physiologic results of diaphragm plication in adults with unilateral diaphragm paralysis. Ann Thorac Surg. 2009;88:1112–7.
Groth SS, Rueth NM, Kast T, D’Cunha J, Kelly RF, Maddaus MA, Andrade RS. Laparoscopic diaphragmatic plication for diaphragmatic paralysis and eventration: an objective evaluation of short-term and midterm results. J Thorac Cardiovasc Surg. 2010;139(6):1452–6.
Weiner DC, Jaklitsch MT. Surgery of the diaphragm: a deductive approach. In: Sellke FW, del Nido PJ, Swanson SJ, editors. Sabiston & Spencer surgery of the chest. 7th ed. Philadelphia, PA: Elsevier Saunders; 2005. p. 501–15.
Slater BJ, Meehan JJ. Robotic repair of congenital diaphragmatic anomalies. J Laparoendosc Adv Surg Tech. 2009;19(1):123–7.
Groth SS, Andrade RS. Diaphragmatic eventration. In: Darling G, Ferguson MK, editors. Surgical conditions of the diaphragm, an issue of thoracic surgery clinics; 2009;19(4). p. 511–9.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer International Publishing AG, part of Springer Nature
About this chapter
Cite this chapter
Cameron, J.A., Andrade, R.S. (2018). Laparoscopic Robotic Diaphragmatic Plication. In: Kernstine, K. (eds) Atlas of Robotic Thoracic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-64508-7_15
Download citation
DOI: https://doi.org/10.1007/978-3-319-64508-7_15
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-64506-3
Online ISBN: 978-3-319-64508-7
eBook Packages: MedicineMedicine (R0)