Thoracoscopic plication for diaphragmatic eventration : A case report

Abstract

We report a case of thoracoscopic plication for diaphragmatic eventration in an elderly patient. A 75 year-old woman was admitted to our hospital with progressive dyspnea on exertion and postprandial epigastralgia. Chest X-ray and CT scan showed marked elevation of the left diaphragm and atelectasis of the left lung. Eventration of the diaphragm was diagnosed. Surgical plication was indicated, but due to the poor respiratory status of the patient, thoracoscopic surgery was choosen to avoid thoracotomy. The redundant diaphragm was plicated with endoscopic linear stapler. During the thoracoscopic procedures, laparoscopic examination was conducted simultaneously to ensure safety and avoid damage to other organs. After plication, epigastralgia and dyspnea on exertion were resolved. The postoperative course was uneventful and no recurrence was observed. Thoracoscopic plication may be conducted safety and successfully in aged patients.