Complex diaphragm reconstruction using dermal collagen matrix after multivisceral resection of retroperitoneal sarcoma  Nicholas J. Harms, MD, Sima Naderi,

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Presentation transcript:

Complex diaphragm reconstruction using dermal collagen matrix after multivisceral resection of retroperitoneal sarcoma  Nicholas J. Harms, MD, Sima Naderi, MD, Dariusz Borys, MD, Richard J. Bold, MD, Robert J. Canter, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 139, Issue 4, Pages 1081-1083 (April 2010) DOI: 10.1016/j.jtcvs.2009.07.077 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative computed tomography (CT) scan, coronal reconstruction, demonstrating recurrent left retroperitoneal sarcoma extending from hemidiaphragm to pelvis. Tumor (∗), area suspicious for diaphragm involvement (arrow), and possible herniation of tumor (arrowhead) through foramen of Bochdalek hernia. B, Preoperative CT scan, coronal reconstruction, demonstrating left retroperitoneal sarcoma. Tumor (∗) and area suspicious for diaphragm involvement (arrow). C, Scout film from CT 6 months after resection demonstrating intact left hemidiaphragm. D, Scout film from CT scan 6 months after resection showing intact left hemidiaphragm. Bilateral lung metastases are present (arrows). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1081-1083DOI: (10.1016/j.jtcvs.2009.07.077) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Intraoperative photograph of diaphragm reconstruction in the first patient using AlloDerm (LifeCell Corp, Branchburg, NJ). Retractor (∗) on duodenal-jejunal flexure; left psoas muscle (∗∗). Lung parenchyma and pleural thoracostomy tube before completion of diaphragm repair (arrow). The Journal of Thoracic and Cardiovascular Surgery 2010 139, 1081-1083DOI: (10.1016/j.jtcvs.2009.07.077) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions