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Robot-Assisted Laparoscopic Diaphragm Plication

  • Valerie X. Du
    Affiliations
    Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.
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  • Shawn S. Groth
    Correspondence
    Address reprint requests to Shawn S. Groth, MD, MS, FACS, Associate Professor, Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, 7200 Cambridge St, Ste 6A, Houston, Tx 77030.
    Affiliations
    Division of Thoracic Surgery, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX.
    Search for articles by this author
      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.

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