A case of stapled resection of redundant diaphragm and early evisceration of gastrointestinal content

Abstract

Diaphragm paralysis has been observed following cervical spinal cord and diaphragm injuries. Patients with diaphragm paralysis require plication of the diaphragm if significant pulmonary dysfunction occurs. We aimed to report the unsuccessful stapling technique in the correction of diaphragm paralysis. We report a 49-year-old man with unilateral diaphragmatic paralysis, who underwent laparoscopic resection of the diaphragm using staplers. He then underwent thoracotomy with mesh reinforcement due to the unsuccessful initial procedure. Based on our report, using a stapler can result in failure of surgical resection of the diaphragm. Further studies need to be performed to investigate the efficacy and safety of stapling in diaphragm resection.