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dc.contributor.authorPanko, Siarhei
dc.contributor.authorKarpitski, Aliaksandr
dc.contributor.authorZhurbenko, Gennadij
dc.contributor.authorShestiuk, Andrej
dc.contributor.authorBoufalik, Rostislav
dc.contributor.authorVakulich, Denis
dc.contributor.authorIgnatjuk, Alaksandr
dc.date.accessioned2020-09-17T12:25:32Z
dc.date.available2020-09-17T12:25:32Z
dc.date.issued2017-03-31
dc.identifier.citationPanko, S. Minimally invasive thoracoscopic surgery with laparoscopic assistance approaches in diaphragmatic eventration management / S. Panko [et al.] // Medical Studies/Studia Medyczne. — 2017. – Vol. 33, iss. 1. – P. 26–30.ru_RU
dc.identifier.issn2300-6722
dc.identifier.issn1899-1874
dc.identifier.urihttp://rep.brsu.by:80/handle/123456789/243
dc.description.abstractIntroduction: Thoracoscopic plication is an effective treatment for diaphragmatic eventration, but the procedure has some disadvantages such as inadvertent abdominal organ injuries or superficial sutures that are not strong enough. Aim of the research: In this study, we devised and tested the method of diaphragm plication through simultaneous laparoscopic- and thoracoscopic-assisted left mini-thoracotomy. Material and methods: During the period between October 2012 and March 2014 there were four patients operated on for left-sided diaphragmatic paralysis. The average age was 52.3 ±17.8 years. The preoperative examination included a routine laboratory study, spirometry, plain chest radiograph, and computed tomographic scan of the chest. The initial part of the surgery was a two-port laparoscopy to remove the adhesions between the abdominal viscera and the abdominal segment of the diaphragm using bipolar electrocautery. After that, video-assisted thoracoscopic surgery plication of the diaphragm was performed via anterior mini thoracotomy. Results: The mean operation time was 58 ±11 min, and the mean hospital stay was 9.0 ±2.1 days. All of the patients demonstrated good postoperative recovery. The descending distance of the diaphragm after the surgery ranged from two to four intercostal spaces, which was confirmed with plain chest X-ray. The follow-up ranged from 20 to 38 months and showed no recurrence of diaphragm elevation symptoms. Conclusions: Simultaneous thoraco- and laparoscopic assisted mini-thoracotomy surgery for diaphragm plication is a safe procedure with strong positive clinical effect, and it can serve as an alternative to conventional thoracoscopic approaches especially in patients with high risk of inadvertent abdominal organ injuries.ru_RU
dc.language.isoenru_RU
dc.publisherTermedia Publishingru_RU
dc.subjectlaparoscopyru_RU
dc.subjectdiaphragmatic eventrationru_RU
dc.subjectthoracoscopic surgeryru_RU
dc.titleMinimally invasive thoracoscopic surgery with laparoscopic assistance approaches in diaphragmatic eventration managementru_RU
dc.title.alternativeMiniinwazyjna chirurgia torakoskopowa ze wsparciem laparoskopowym w leczeniu ewentracji przeponyru_RU
dc.typeArticleru_RU


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