Surgical Film Library-Right Diaphragm Resection

Video Transcription

Video Summary

The speaker discusses a laparoscopic approach for limited diaphragmatic disease, emphasizing careful case selection to achieve complete cytoreduction. The procedure involves understanding diaphragm anatomy, trocar placement, and using safe energy sources like harmonic or bipolar to mark and resect tissue, avoiding monopolar energy to reduce complications like pneumothorax. Liver adhesions and ligaments are carefully dissected, with attention to avoiding damage to vessels and nerves to maintain diaphragm function. Postoperative complications like small diaphragm holes and pleural effusions can be managed effectively. Overall, with experience, the laparoscopic method is feasible and beneficial in select patients.

Asset Subtitle

Reitan Riberio, Canada

Meta Tag

Route MIS-Laparoscopic

Skill Level Expert

Surgical Location Upper abdomen

Keywords

MIS-Laparoscopic

Upper abdomen

Expert

laparoscopic diaphragmatic surgery

cytoreduction

trocar placement

energy sources in surgery

postoperative complications