Laparoscopic treatment of adult diaphragmatic hernia after minimally invasive hepatectomy: A case report and literature review
(2023) open journal of clinical & medical case reports — Vol. 9, n° 37, p. 2144 (2023)
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- Abstract
- Introduction: History of surgery is the second most common cause of acquired diaphragmatic hernia (DH) after trauma. Herein, we present a case of diaphragmatic hernia following minimally invasive laparoscopic liver surgery. We also reviewed the literature on adult DH after hepatectomy, the primary surgical cause. Methods: Clinical case presentation and systematic literature review of adult DH after hepatectomy. Results: A 71-year-old male patient was diagnosed a DH 42 months after a right extended laparoscopic hepatectomy for alveolar echinococcosis. A minimal invasive approach permitted a primary suture with intraperitoneal onlay mesh. There is no sign of recurrence at the 19-months follow-up. The literature review reported only 80 cases. The incidence, type of liver surgery and indications, delay before DH diagnosis, clinical presentation, treatment, and recurrence rate were assessed. Based on this, an algorithm for work-up and treatment is proposed. Conclusion: Although rare, diaphragmatic hernias should be considered in the differential diagnosis of abdominal and/or respiratory symptoms in patients with a history of liver surgery. Computed tomography imaging is the first-choice diagnostic modality, and surgical repair is key. The primary suture should be associated with mesh use. A long-term follow-up of at least two years was proposed to detect DH recurrence.
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Kuzmova, M., Goussens, A., Dili, A., & Claude, B. (2023). Laparoscopic treatment of adult diaphragmatic hernia after minimally invasive hepatectomy: A case report and literature review. open journal of clinical & medical case reports, 9(37), 2144. https://hdl.handle.net/2078.5/274079 (Original work published 2023)