Surgical Film Library-Laparoscopic Diaphragmatic Resection

Video Transcription

Video Summary

The video discusses minimally invasive right diaphragmatic resection for highly selected cases with limited disease, emphasizing careful patient selection and thorough abdominal evaluation. Key points include understanding diaphragm anatomy and nerve preservation to avoid paralysis, proper port placement, and using harmonic or bipolar energy over monopolar to prevent complications like pneumothorax. The procedure involves mobilizing liver ligaments and careful dissection to remove diseased peritoneum. Pneumothorax is managed by suturing and aspiration, with chest drains used only when necessary. Postoperative diaphragm paralysis is usually temporary. The speaker highlights the complexity in cases post-neoadjuvant chemotherapy and the importance of patience and precision throughout the surgery.

Asset Subtitle

Reitan Riberio, Canada

Meta Tag

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Upper abdomen

Keywords

MIS-Laparoscopic

Upper abdomen

Expert

minimally invasive diaphragmatic resection

right diaphragm surgery

nerve preservation in diaphragm surgery

pneumothorax management

post-neoadjuvant chemotherapy surgical challenges