A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report
Abstract Background Pulmonary carcinoma patients with low pulmonary function cannot be treated surgically because of the high risk of complications. Diaphragmatic eventration is a disease characterized by diaphragmatic paralysis and dyspnea. Here, we report a surgical case of multiple pulmonary carc...
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| Format: | Article |
| Language: | English |
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Japan Surgical Society
2019-05-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0648-z |
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| author | Yukiko Matsui Shigetoshi Yoshida Takekazu Iwata Kazuhisa Tanaka Takayoshi Yamamoto Kai Nishii Toshihiko Iizasa |
| author_facet | Yukiko Matsui Shigetoshi Yoshida Takekazu Iwata Kazuhisa Tanaka Takayoshi Yamamoto Kai Nishii Toshihiko Iizasa |
| author_sort | Yukiko Matsui |
| collection | DOAJ |
| description | Abstract Background Pulmonary carcinoma patients with low pulmonary function cannot be treated surgically because of the high risk of complications. Diaphragmatic eventration is a disease characterized by diaphragmatic paralysis and dyspnea. Here, we report a surgical case of multiple pulmonary carcinomas with contralateral diaphragmatic eventration. Case presentation The patient was a 75-year-old woman with multiple metachronous right lung carcinomas complicated by left diaphragmatic eventration. When she was 70 years old, a right upper lobectomy and right S6b wedge resection were performed for double lung carcinomas. Five years later, two new lung tumors in her right lower lobe and left diaphragmatic eventration were identified, but resection was thought to be impossible because of her low pulmonary function. We performed video-assisted thoracoscopic surgery (VATS) plication with carbon dioxide (CO2) insufflation for the left diaphragmatic eventration, and her pulmonary function improved. Subsequently, we performed a right S6 wedge resection and right S9 segmentectomy for the double lung tumors with no complications. The tumors were diagnosed as double primary carcinomas. Conclusions Our case presented with low pulmonary function and right multiple lung carcinomas with left diaphragmatic eventration. VATS plication for the left diaphragmatic eventration achieved improvement in her pulmonary function, and right pulmonary resection for the lung carcinomas was performed. VATS plication can expand the choice of treatments in such cases. |
| format | Article |
| id | doaj-art-e5c96d17573e4422886c3b6dbe721135 |
| institution | DOAJ |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-05-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-e5c96d17573e4422886c3b6dbe7211352025-08-20T03:19:07ZengJapan Surgical SocietySurgical Case Reports2198-77932019-05-01511510.1186/s40792-019-0648-zA strategy for pulmonary resection after contralateral diaphragm plication: a surgical case reportYukiko Matsui0Shigetoshi Yoshida1Takekazu Iwata2Kazuhisa Tanaka3Takayoshi Yamamoto4Kai Nishii5Toshihiko Iizasa6Department of Thoracic Surgery, Chiba Cancer CenterDepartment of Thoracic Surgery, Chiba Cancer CenterDepartment of Thoracic Surgery, Chiba Cancer CenterDepartment of Thoracic Surgery, Chiba Cancer CenterDepartment of General Thoracic Surgery, Graduate School of Medicine, Chiba UniversityDepartment of Thoracic Surgery, Chiba Cancer CenterDepartment of Thoracic Surgery, Chiba Cancer CenterAbstract Background Pulmonary carcinoma patients with low pulmonary function cannot be treated surgically because of the high risk of complications. Diaphragmatic eventration is a disease characterized by diaphragmatic paralysis and dyspnea. Here, we report a surgical case of multiple pulmonary carcinomas with contralateral diaphragmatic eventration. Case presentation The patient was a 75-year-old woman with multiple metachronous right lung carcinomas complicated by left diaphragmatic eventration. When she was 70 years old, a right upper lobectomy and right S6b wedge resection were performed for double lung carcinomas. Five years later, two new lung tumors in her right lower lobe and left diaphragmatic eventration were identified, but resection was thought to be impossible because of her low pulmonary function. We performed video-assisted thoracoscopic surgery (VATS) plication with carbon dioxide (CO2) insufflation for the left diaphragmatic eventration, and her pulmonary function improved. Subsequently, we performed a right S6 wedge resection and right S9 segmentectomy for the double lung tumors with no complications. The tumors were diagnosed as double primary carcinomas. Conclusions Our case presented with low pulmonary function and right multiple lung carcinomas with left diaphragmatic eventration. VATS plication for the left diaphragmatic eventration achieved improvement in her pulmonary function, and right pulmonary resection for the lung carcinomas was performed. VATS plication can expand the choice of treatments in such cases.http://link.springer.com/article/10.1186/s40792-019-0648-zVATS diaphragm plicationCO2 insufflationMultiple lung carcinomasPulmonary function |
| spellingShingle | Yukiko Matsui Shigetoshi Yoshida Takekazu Iwata Kazuhisa Tanaka Takayoshi Yamamoto Kai Nishii Toshihiko Iizasa A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report Surgical Case Reports VATS diaphragm plication CO2 insufflation Multiple lung carcinomas Pulmonary function |
| title | A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report |
| title_full | A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report |
| title_fullStr | A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report |
| title_full_unstemmed | A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report |
| title_short | A strategy for pulmonary resection after contralateral diaphragm plication: a surgical case report |
| title_sort | strategy for pulmonary resection after contralateral diaphragm plication a surgical case report |
| topic | VATS diaphragm plication CO2 insufflation Multiple lung carcinomas Pulmonary function |
| url | http://link.springer.com/article/10.1186/s40792-019-0648-z |
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