Though their etiology and pathology are distinct, the treatment of symptomatic diaphragm
eventration and paralysis is the same – diaphragm plication. Though there is little
data to objectively compare plication techniques, all offer significant improvement
in symptoms, pulmonary function, and respiratory quality-of-life scores. Nonetheless,
potential advantages of a robot assisted laparoscopic approach to plication include
lower morbidity than thoracotomy and laparotomy techniques; avoidance of single lung
ventilation, less intercostal nerve pain, and greater working domain compared with
thoracotomy and thoracoscopic approaches; and enhanced dexterity as compared with
standard laparoscopic instrumentation.
Keywords
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Article info
Publication history
Published online: January 30, 2022
Footnotes
Financial disclosure: Groth (Intuitive Surgical Inc: speaker and proctor honoraria)
Identification
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