Robotic and Vats Plication of Diaphragm
摘要
Eventration of the diaphragm is a clinical condition characterised by the elevation of a portion of the diaphragm, patients are sometimes symptomatic with dyspnoea on exertion. Common causes of eventration include compression with a mediastinal mass, phrenic nerve injury, post surgery and viral infections. Diagnosis typically involves a chest X-ray, CT scan and fluoroscopy. The gold standard of treatment for eventration of the diaphragm is surgical plication. There are many surgical approaches such as thoracotomy, VATS, robotic and laparoscopic plication. The approach used depends on the experience and comfort of the surgeon. Robotic surgery can enhance dexterity, 3D binocular vision and 360 degree rotation. It also allows for precise suturing and knot tying. Robotic surgery has proved to have positive clinical outcomes with.