Thoracoscopic Repair of a Right-sided Congenital Diaphragmatic Hernia -A case report -

흉강경을 이용한 우측 선천성 횡격막 탈장 수술 -1예 보고-

  • Jo, Tae-Jun (Department of Cardiothoracic Surgery, Hallym University Sacred Heart Hospital) ;
  • Lee, Jae-Woong (Department of Cardiothoracic Surgery, Hallym University Sacred Heart Hospital) ;
  • Lee, Weon-Yong (Department of Cardiothoracic Surgery, Hallym University Sacred Heart Hospital) ;
  • Hong, Ki-Woo (Department of Cardiothoracic Surgery, Hallym University Sacred Heart Hospital) ;
  • Ahn, Su-Min (Department of General Surgery, Hallym University Sacred Heart Hospital) ;
  • Kim, Kun-Il (Department of Cardiothoracic Surgery, Hallym University Sacred Heart Hospital)
  • 조태준 (한림대학교 성심병원 흉부외과) ;
  • 이재웅 (한림대학교 성심병원 흉부외과) ;
  • 이원용 (한림대학교 성심병원 흉부외과) ;
  • 홍기우 (한림대학교 성심병원 흉부외과) ;
  • 안수민 (한림대학교 성심병원 일반외과) ;
  • 김건일 (한림대학교 성심병원 흉부외과)
  • Published : 2007.02.05

Abstract

A congenital diaphragmatic hernia, which mainly occurs in the left thorax, requires an emergency operative procedure during the neonatal periods. A right-sided congenital diaphragmatic hernia is rare, and often detected after the neonatal period due to the mild symptoms. Traditionally, the treatment repairs the diaphragmatic defect via a thoracotomy. However, good results of thoracoscopic repairs have been reported. Herein, the case of a 5-month-old girl, who received a thoracoscopic repair of a right-sided congenital diaphragmatic hernia, is reported.

선천성 횡격막탈장은 신생아기에 응급 수술을 요하는 질환으로 주로 좌측에 많이 발생한다. 우측 선천성 횡격막 탈장은 드물며 증상이 경미하여 신생아기 이후에 발견되는 경우가 많다. 치료는 전통적으로 개흉술을 통한 횡격막 봉합술이 시행되지만 흉강경을 이용한 수술이 적용되어 좋은 결과들이 보고되고 있다. 우리는 우측 선천성 횡격막 탈장을 가진 5개월된 여아를 흉강경을 이용하여 수술하였기에 보고하는 바이다.

Keywords

References

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