A Case of Diaphragmatic Hernia Developing After Right Hepatectomy That was Treated by Laparoscopic Surgery / 肝右葉切除術後に腹腔鏡下修復術を施行した横隔膜ヘルニアの1例
- Resource Type
- Journal Article
- Authors
- Hiroki Tawara; Kaichiro Kato; Masahiro Hada; Takuo Hara; 俵 広樹; 加藤 嘉一郎; 原 拓央; 羽田 匡宏
- Source
- 日本腹部救急医学会雑誌 / Nihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine). 2019, 39(7):1279
- Subject
- mesh repair
横隔膜ヘルニア
肝切除術
腹腔鏡手術
- Language
- Japanese
- ISSN
- 1340-2242
1882-4781
Diaphragmatic hernia developing after hepatectomy is rare. A 51-year-old female patient who had undergone right hepatectomy via a thoraco-laparotomy presented 9 months later complaining of upper abdominal pain and nausea. An abdominal CT revealed a diaphragmatic hernia and bowel obstruction, and we performed laparoscopic surgery. The cause of the herniation was determined as failure of the sutures of the diaphragm. The hernia orifice was repaired with a mesh coated with an adhesion inhibitor. Thus, laparoscopic surgery is a valid treatment option for diaphragmatic hernia developing after liver resection. As incarcerated diaphragmatic hernias could prove fatal, the possibility of diaphragmatic hernias developing as a late complication after liver resection should be borne in mind.