TY  - CHAP
M1  - Book, Section
TI  - Robotic Diaphragm Plication
A1  - Raad, Wissam
A1  - Wolf, Andrea S.
A2  - Sugarbaker, David J.
A2  - Bueno, Raphael
A2  - Burt, Bryan M.
A2  - Groth, Shawn S.
A2  - Loor, Gabriel
A2  - Wolf, Andrea S.
A2  - Williams, Marcia
A2  - Adams, Ann
PY  - 2020
T2  - Sugarbaker’s Adult Chest Surgery, 3e
AB  - Diaphragmatic  plication  is  commonly  performed  in  symptomatic  patients  with  diaphragmatic  eventration  or  phrenic  nerve  paralysis.  The  history  of  this  procedure  dates  back  to  1923  when  Morrison  described  the  first  plication  on  a  10-year-old  girl  who  reported  immediate  postoperative  relief.1  The  rationale  behind  plicating  the  lax  diaphragm  is  that  tightening  the  muscle  makes  it  easier  for  the  contralateral  diaphragm  to  be  more  effective.  Access  through  a  thoracotomy  is  the  gold  standard.  However,  with  the  introduction  of  minimal-access  surgery  and  robotic  assistance,  it  is  now  possible  to  apply  the  basic  tenets  of  open  surgery  principles  utilizing  smaller  incisions.  Multiple  studies  assessing  minimal-access  surgery  in  thoracic  surgical  procedures,  including  thoracoscopy  and  robotic  assistance,  have  demonstrated  shorter  length  of  stay,  decreased  postoperative  pain,  and  lower  requirements  for  narcotics.2–4  Therefore,  we  advocate  utilizing  robotic  assistance  for  diaphragmatic  plication  when  clinically  indicated.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/16
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1170416896
ER  -