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Thoracoscopic repair of neonatal congenital diaphragmatic hernia
http://hdl.handle.net/10069/36575
http://hdl.handle.net/10069/36575ca16860c-1085-474a-82f6-7212c9998de2
名前 / ファイル | ライセンス | アクション |
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ActMed60_125.pdf (959.0 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2016-05-27 | |||||
タイトル | ||||||
タイトル | Thoracoscopic repair of neonatal congenital diaphragmatic hernia | |||||
言語 | ||||||
言語 | eng | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Congenital diaphragmatic hernia | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Thoracoscopy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Neonate | |||||
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 |
Obatake, Masayuki
× Obatake, Masayuki× Yamane, Yusuke× Yoshida, Takuya× Taura, Yasuaki× Nagayasu, Takeshi |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Purpose: To describe the surgical technique and criteria for neonatal congenital diaphragmatic hernia (CDH) repair. Methods: CDH repairs were carried out by a thoracoscopic approach between February 2013 and April 2014. Preoperatively, the neonates were stabilized with high-frequency oscillatory ventilation and nitric oxide inhalation. They had no associated cardiac anomalies. Confirmation of the appropriateness of thoracoscopic repair was determined based on the patient’s stability in the decubitus position and no clinical signs of pulmonary hypertension. The operation was carried out with one optical and two operating trocars. The hernia defect was closed by interrupted nonabsorbable sutures. The more lateral portion of the defect was repaired with a U-shaped stitch using a laparoscopic percutaneous extraperitoneal closure needle. Results: Three neonates underwent repair via thoracoscopy. Two patients underwent primary CDH repair, and conversion to laparotomy was required in the other because of a large diaphragmatic defect. There was no intraoperative cardiorespiratory instability or postoperative complications. Conclusions: Thoracoscopic repair of neonatal CDH is a feasible and safe procedure for the patients who have respiratory stability in the decubitus position, no pulmonary hypertension and no intra-thoracic liver herniation. |
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書誌情報 |
Acta medica Nagasakiensia 巻 60, 号 3, p. 125-128, 発行日 2016-04 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
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出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
出版者 | ||||||
出版者 | Nagasaki University School of Medicine | |||||
出版者別言語 | ||||||
値 | 長崎大学医学部 | |||||
sortkey | ||||||
値 | 6 | |||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia, 60(3), pp.125-128; 2016 |