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KMID : 0914820120120010049
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Journal of the Korean Gastric Cancer Association
2012 Volume.12 No. 1 p.49 ~ p.52
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Late Onset Iatrogenic Diaphragmatic Hernia after Laparoscopy-Assisted Total Gastrectomy for Gastric Cancer
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Suh Young-Jin
Lee Jun-Hyun
Jeon Hae-Myung
Kim Dong-Jin
Kim Wook
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Abstract
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Through the advent of surgical techniques and the improvement of laparoscopic tools including the ultrasonic activated scissor, laparoscopic gastrectomy has been increasingly used in far more cases of benign or malignant gastric lesions for the benefit of patients without compromising therapeutic outcomes. Even though possible complications provoked by the ultrasonic activated scissor can be prevented during the procedure with increasing advanced laparoscopic experience and supervision, unexpected late complications after the operations rarely occur. An extremely rare case of left incarcerated diaphragmatic hernia of the transverse colon developed in an 81-year-old female patient as a late complication, 8 months after laparoscopy-assisted total gastrectomy for gastric cancer, with laparoscopy successfully resumed and without the need to sacrifice any portion of the bowel.
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KEYWORD
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Ultrasonic activated scissor, Laparoscopic gastrectomy, Late complications, Diaphragmatic hernia
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