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Eur J Pediatr Surg 2020; 30(02): 137-141
DOI: 10.1055/s-0040-1702222
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Thoracoscopic Repair of Congenital Diaphragmatic Hernia

Richard Wagner
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Steffi Mayer
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Xiaoyan Feng
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Jan-Hendrik Gosemann
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Peter Zimmermann
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
,
Martin Lacher
1   Department of Pediatric Surgery, Universitätsklinikum Leipzig, Leipzig, Germany
› Author Affiliations
Further Information

Publication History

07 January 2020

10 January 2020

Publication Date:
08 March 2020 (online)

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Abstract

The surgical management of patients with congenital diaphragmatic hernia (CDH) is challenging and ever changing. It requires the highest expertise not only on the surgical level but also of neonatologists and anesthesiologists. In selected patients traditional open surgery is increasingly replaced by thoracoscopic CDH repair in many centers worldwide. Despite obvious and well-described advantages of the minimally invasive approach like a shorter ventilatory time, less pain, a shorter hospital length of stay, and a better cosmesis, important controversies remain. This review discusses hot topics of minimally invasive CDH repair, such as extracorporeal membrane oxygenation, hypercapnia/acidosis, patch repair, surgical training, and recurrence.

Keywords

minimally invasive surgery - congenital diaphragmatic hernia - review
 

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