En bloc stapled diaphragmatic resection for local invasion during hepatectomy: a simple technique without opening the pleural cavity

Am J Surg. 2007 Jun;193(6):786-8. doi: 10.1016/j.amjsurg.2006.08.084.

Abstract

Diaphragmatic invasion is not uncommon in patients undergoing hepatectomy for liver tumors. Where there are limited attachments of the diaphragm to the tumor, the authors describe a stapled technique for en bloc resection of the diaphragm without opening the chest cavity, thus performing an oncologic resection, while avoiding the need for pleural drainage.

MeSH terms

  • Diaphragm / pathology
  • Diaphragm / surgery*
  • Hepatectomy / methods*
  • Humans
  • Liver Neoplasms / pathology*
  • Liver Neoplasms / surgery
  • Neoplasm Invasiveness
  • Pleural Cavity
  • Pneumothorax / prevention & control
  • Risk Factors
  • Suture Techniques / instrumentation*
  • Sutures*