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Thorac Cardiovasc Surg 2016; 64(08): 647-653
DOI: 10.1055/s-0034-1383812
Original Thoracic
Georg Thieme Verlag KG Stuttgart · New York

Video-Assisted Minithoracotomy Diaphragmatic Plication: Respiratory Effects in Adults

Carlos Rombolá
1   Department of Thoracic Surgery, C.H.U., Albacete, Spain
,
Marta Genovés Crespo
1   Department of Thoracic Surgery, C.H.U., Albacete, Spain
,
Pedro Tárraga López
2   Gerencia de Atención Integrada, Sescam, Albacete, Spain
,
Antonio Honguero Martínez
1   Department of Thoracic Surgery, C.H.U., Albacete, Spain
,
Pablo León Atance
1   Department of Thoracic Surgery, C.H.U., Albacete, Spain
,
Ana Triviño Ramírez
1   Department of Thoracic Surgery, C.H.U., Albacete, Spain
,
José Antonio Rodríguez Montes
3   Departamento de Cirugía General y Digestiva, Hospital Universitario La Paz, Madrid, Spain
› Author Affiliations
Further Information

Publication History

17 December 2013

17 May 2014

Publication Date:
03 September 2014 (online)

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Abstract

Objectives The objective of this study was to analyze the clinical respiratory and spirometric effects of video-assisted minithoracotomy diaphragmatic plication (VAM-T DP) in the treatment of diaphragmatic eventration.

Methods A retrospective longitudinal study of 18 patients who underwent a VAM-T DP in our service between February 2005 and July 2011 was performed. Data of patient characteristics, preoperative clinical variables, and postoperative results (3, 6, and 12 months) were collected for statistical analysis using the software package SPSS 13.0 for Windows (Wilcoxon test, Friedman test, and Z-test).

Results The main clinical respiratory and spirometric variables improved significantly and remained stable over 1 year.

Conclusions VAM-T DP is a viable and safe procedure that improves the spirometry values and offers stable results during the first year. To our knowledge, the present series is the second largest published report in English relating to this procedure in adults.

Keywords

diaphragmatic surgery - diaphragmatic plication - respiratory paralysis - diaphragmatic eventration
 

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