RT Book, Section A1 Andrade, Rafael A2 Sugarbaker, David J. A2 Bueno, Raphael A2 Colson, Yolonda L. A2 Jaklitsch, Michael T. A2 Krasna, Mark J. A2 Mentzer, Steven J. A2 Williams, Marcia A2 Adams, Ann SR Print(0) ID 1105847074 T1 Plication of the Diaphragm from Below T2 Adult Chest Surgery, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-178189-3 LK accesssurgery.mhmedical.com/content.aspx?aid=1105847074 RD 2024/04/23 AB The abdominal approach for diaphragmatic plication is appropriate in properly selected patients. Open transabdominal plication has been described for unilateral or bilateral diaphragmatic eventration or paralysis in children,1 but very few data are available on the results of open transabdominal plication in adults. Laparoscopic diaphragm plication was initially described by Hüttl et al. in a report of three patients.2 We reported our experience with 25 patients demonstrating that the laparoscopic approach to diaphragm plication results in significant short- and mid-term improvements in symptoms, quality of life, and pulmonary function tests (PFTs) in patients with hemidiaphragm paralysis or eventration.3