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  1. Public
  2. 研究紀要
  3. Acta Medica Kindai University
  4. 44(2)2019

<Case Reports> A case of neonatal congenital diaphragmatic hernia treated with thoracoscopic surgery

https://kindai.repo.nii.ac.jp/records/20511
https://kindai.repo.nii.ac.jp/records/20511
ded9db90-cecd-4e31-8303-b0b4b2858202
名前 / ファイル ライセンス アクション
AA0050842X-20191200-0033.pdf AA0050842X-20191200-0033.pdf (549.5 kB)
Item type ☆紀要論文 / Departmental Bulletin Paper(1)
公開日 2020-02-05
タイトル
タイトル <Case Reports> A case of neonatal congenital diaphragmatic hernia treated with thoracoscopic surgery
言語 en
著者 Maekawa, Shohei

× Maekawa, Shohei

Maekawa, Shohei

ja-Kana マエカワ, ショウヘイ

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Sasaki, Takashi

× Sasaki, Takashi

Sasaki, Takashi

ja-Kana ササキ, タカシ

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Kogata, Shuhei

× Kogata, Shuhei

Kogata, Shuhei

ja-Kana コガタ, シュウヘイ

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Arima, Tomoyuki

× Arima, Tomoyuki

Arima, Tomoyuki

ja-Kana アリマ, トモユキ

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Wada, Norihisa

× Wada, Norihisa

Wada, Norihisa

ja-Kana ワダ, ノリヒサ

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Sugimoto, Keisuke

× Sugimoto, Keisuke

Sugimoto, Keisuke

ja-Kana スギモト, ケイスケ

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Tsuritani, Mitsuhiro

× Tsuritani, Mitsuhiro

Tsuritani, Mitsuhiro

ja-Kana ツリタニ, ミツヒロ

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Yo, Yoshie

× Yo, Yoshie

Yo, Yoshie

ja-Kana ヨウ, ヨシエ

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Suzuki, Ayako

× Suzuki, Ayako

Suzuki, Ayako

ja-Kana スズキ, アヤコ

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Houri, Kei

× Houri, Kei

Houri, Kei

ja-Kana ホウリ, ケイ

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Yagi, Makoto

× Yagi, Makoto

Yagi, Makoto

ja-Kana ヤギ, マコト

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言語
言語 eng
キーワード
主題 congenital diaphragmatic hernia, thoracoscopic surgery, neonate, LAPA-HER-CLOSURE®
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ departmental bulletin paper
著者 所属
値 Division of Pediatric Surgery, Department of Surgery, Kindai University Faculty of Medicine
著者 所属
値 Division of Pediatric Surgery, Department of Surgery, Kindai University Faculty of Medicine
著者 所属
値 Division of Pediatric Surgery, Department of Surgery, Kindai University Faculty of Medicine
著者 所属
値 Department of Pediatrics, Kindai University Faculty of Medicine
著者 所属
値 Department of Pediatrics, Kindai University Faculty of Medicine
著者 所属
値 Department of Pediatrics, Kindai University Faculty of Medicine
著者 所属
値 Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine
著者 所属
値 Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine
著者 所属
値 Department of Obstetrics and Gynecology, Kindai University Faculty of Medicine
著者 所属
値 Department of Anesthesiology, Kindai University Faculty of Medicine
著者 所属
値 Division of Pediatric Surgery, Department of Surgery, Kindai University Faculty of Medicine
版
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
出版者 名前
出版者 Kindai University Medical Association
書誌情報 en : ACTA MEDICA KINDAI UNIVERSITY

巻 44, 号 2, p. 33-37, 発行日 2019-12
ISSN
収録物識別子タイプ ISSN
収録物識別子 03866092
抄録
内容記述タイプ Abstract
内容記述 [Abstract] We report a case of congenital diaphragmatic hernia (CDH) treated successfully with thoracoscopic repair (TR) during the neonatal period. A male infant was antenatally diagnosed with low-risk CDH and delivered by scheduled induction of labor. TR was performed after 3 days of stabilization and evaluation. Three trocars were placed in the right lateral decubitus position, and artificial pneumothorax with 4 mmHg CO2 insufflation was created to collapse the lung and facilitate reduction of the herniated organs toward the abdominal cavity. A diaphragmatic defect measuring 3 cm in diameter was confirmed, and a stay suture placed in its medial edge. The suture tips were retrieved and drawn out of the body using a LAPA-HER-CLOSURE® needle device for laparoscopic herniorrhaphy. The edge of the defect was straightened and made parallel by pulling the threads, making subsequent suturing easy and safe. Direct closure with seven interrupted sutures was accomplished without any intraoperative cardiorespiratory instability. His postoperative course was uneventful, and his clinical condition and chest x-ray findings were normal at 6 months. His parents were also satisfied with his cosmetic appearance. We conclude that TR for CDH is feasible in selected cases, even in the early neonatal period, and that our method using LAPA-HER-CLOSURE® is practical, easy, and safe.
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内容記述 application/pdf
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