Diaphragm Reconstruction with an Autologous Fascia Lata for Repeat Hepatectomy: A Case Report

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  • Hattori Sakurako
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Abe Hayato
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Yamazaki Shintaro
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Takane Kiyoko
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Matsuno Yoritaka
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Yoshida Nao
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Higaki Tokio
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Takayama Tadatoshi
    Department of Digestive Surgery, 
Nihon University School of Medicine
  • Shimoda Katsumi
    Department of Plastic and Reconstructive Surgery, 
Nihon University School of Medicine
  • Nakazawa Hiroaki
    Department of Plastic and Reconstructive Surgery, 
Nihon University School of Medicine

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Other Title
  • 大腿筋膜による横隔膜再建を要した再肝切除の１例

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Abstract

The patient was a 36-year-old female who had undergone hepatectomy and diaphragm resection for a large primary hepatic yolk sac tumor. Two months later, local recurrence under the diaphragm was found. We therefore performed repeat hepatectomy with a wide range of diaphragm resection as well as repair of the diaphragm with a right fascia lata. The patientʼs postoperative coarse was uneventful, including the status of her respiratory function. Fascia lata is a bio-material that can be conveniently harvested and carries a decreased risk of infection. Considering these advantages, repairing the diaphragm with the fascia lata is a useful method for performing surgery for large hepatic tumors invading the diaphragm.

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