Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Late Onset Iatrogenic Diaphragmatic Hernia after Laparoscopy-Assisted Total Gastrectomy for Gastric Cancer

  • Suh, Young-Jin (Department of Surgery, College of Medicine, The Catholic University of Korea) ;
  • Lee, Jun-Hyun (Department of Surgery, College of Medicine, The Catholic University of Korea) ;
  • Jeon, Hae-Myung (Department of Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Dong-Jin (Department of Surgery, College of Medicine, The Catholic University of Korea) ;
  • Kim, Wook (Department of Surgery, College of Medicine, The Catholic University of Korea)
  • Received : 2012.02.02
  • Accepted : 2012.03.02
  • Published : 2012.03.30
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Abstract

Through the advent of surgical techniques and the improvement of laparoscopic tools including the ultrasonic activated scissor, laparoscopic gastrectomy has been increasingly used in far more cases of benign or malignant gastric lesions for the benefit of patients without compromising therapeutic outcomes. Even though possible complications provoked by the ultrasonic activated scissor can be prevented during the procedure with increasing advanced laparoscopic experience and supervision, unexpected late complications after the operations rarely occur. An extremely rare case of left incarcerated diaphragmatic hernia of the transverse colon developed in an 81-year-old female patient as a late complication, 8 months after laparoscopy-assisted total gastrectomy for gastric cancer, with laparoscopy successfully resumed and without the need to sacrifice any portion of the bowel.

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References

  1. Shehzad K, Mohiuddin K, Nizami S, Sharma H, Khan IM, Memon B, et al. Current status of minimal access surgery for gastric cancer. Surg Oncol 2007;16:85-98. https://doi.org/10.1016/j.suronc.2007.04.012
  2. Farn J, Hammerman AM, Brunt LM. Intraoperative pneumothorax during laparoscopic cholecystectomy: a complication of prior transdiaphragmatic surgery. Surg Laparosc Endosc 1993;3:219-222.
  3. Eder F, Putzki H, Tautenhahn E. Right-sided pneumothorax in laparoscopic cholecystectomy. Chirurg 1994;65:484-485.
  4. Armstrong PA, Miller SF, Brown GR. Diaphragmatic hernia seen as a late complication of laparoscopic cholecystectomy. Surg Endosc 1999;13:817-818. https://doi.org/10.1007/s004649901108
  5. Kent MS, Luketich JD, Tsai W, Churilla P, Federle M, Landreneau R, et al. Revisional surgery after esophagectomy: an analysis of 43 patients. Ann Thorac Surg 2008;86:975-983. https://doi.org/10.1016/j.athoracsur.2008.04.098
  6. Vallbohmer D, Holscher AH, Herbold T, Gutschow C, Schröder W. Diaphragmatic hernia after conventional or laparoscopic- assisted transthoracic esophagectomy. Ann Thorac Surg 2007;84:1847-1852. https://doi.org/10.1016/j.athoracsur.2007.07.009
  7. Kim JJ, Song KY, Chin HM, Kim W, Jeon HM, Park CH, et al. Totally laparoscopic gastrectomy with various types of intracorporeal anastomosis using laparoscopic linear staplers: preliminary experience. Surg Endosc 2008;22:436-442. https://doi.org/10.1007/s00464-007-9446-y
  8. Besozzi A, Besozzi S, Lanza V, Mitolo CI, Novelli D, Sisto T. Laparoscopic treatment gastric cancer with advanced techniques: technical notes and follow-up. Chir Ital 2007;59:63-67.
  9. Balazs A, Forgacs A, Flautner L, Kupcsulik P. A case of unusual complication of diaphragmatic herniation of transverse colon following transhiatal esophagectomy. Orv Hetil 1997;138:2535-2538.
  10. Aly A, Watson DI. Diaphragmatic hernia after minimally invasive esophagectomy. Dis Esophagus 2004;17:183-186. https://doi.org/10.1111/j.1442-2050.2004.00399.x
  11. Kuhn R, Schubert D, St Wolff, Marusch F, Lippert H, Pross M. Repair of diaphragmatic rupture by laparoscopic implantation of a polytetrafluoroethylene patch. Surg Endosc 2002;16:1495. https://doi.org/10.1007/s00464-002-4503-z
  12. Killeen KL, Mirvis SE, Shanmuganathan K. Helical CT of diaphragmatic rupture caused by blunt trauma. AJR Am J Roentgenol 1999;173:1611-1616. https://doi.org/10.2214/ajr.173.6.10584809
  13. Kaya SO, Karabulut N, Yuncu G, Sevinc S, Kiroglu Y. Sinus cut-off sign: a helpful sign in the CT diagnosis of diaphragmatic rupture associated with pleural effusion. Eur J Radiol 2006;59:253-256. https://doi.org/10.1016/j.ejrad.2006.04.015
  14. Matthews BD, Bui H, Harold KL, Kercher KW, Adrales G, Park A, et al. Laparoscopic repair of traumatic diaphragmatic injuries. Surg Endosc 2003;17:254-258. https://doi.org/10.1007/s00464-002-8831-9
  15. Murray JA, Demetriades D, Asensio JA, Cornwell EE 3rd, Velmahos GC, Belzberg H, et al. Occult injuries to the diaphragm: prospective evaluation of laparoscopy in penetrating injuries to the left lower chest. J Am Coll Surg 1998;187:626-630. https://doi.org/10.1016/S1072-7515(98)00246-4

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