This site is not optimized for Internet Explorer 8 (or older).

Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.

Endo360⁰ Totally Endoscopic Left VATS Diaphragmatic Plication

Monday, May 28, 2018

Ganesh SJ, Shah R, Granato F. Endo360⁰ Totally Endoscopic Left VATS Diaphragmatic Plication. May 2018. doi:10.25373/ctsnet.6294515.

In this brief clinical video, the authors demonstrate the use of the Endo360⁰ suturing device from EndoEvolution (Assut Europe, SpA, Rome, Italy) for plication of the left hemidiaphragm. The authors believe that this is the first documented use of the Endo360⁰ for plication of the diaphragm.

The patient is a 66-year-old gentleman who underwent thyroidectomy for nonmalignant disease in 2014. He developed shortness of breath on exertion a few months after the procedure. He was evaluated and found to have iatrogenic left diaphragmatic paralysis. His performance status was 1, with FEV1 72%, FVC 104%, DLCO 90%, and KCO 119%. After obtaining the patient's informed consent and adequately preparing for the procedure, the patient was taken for elective video-assisted thoracoscopic (VATS) diaphragm plication. The video demonstrates the technique of using the Endo360⁰ in a three-port CO2-aided totally endoscopic VATS diaphragm plication.

Add comment

Log in or register to post comments