Copyright
©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2022; 10(20): 7020-7028
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7020
Published online Jul 16, 2022. doi: 10.12998/wjcc.v10.i20.7020
Laparoscopic repair of diaphragmatic hernia associating with radiofrequency ablation for hepatocellular carcinoma: A case report
Junya Tsunoda, Tomohiko Nishi, Gaku Inaguma, Tomohiko Matsuzaki, Hiroaki Seki, Nobutaka Yasui, Michio Sakata, Akihiko Shimada, Hidetoshi Matsumoto, Department of Surgery, Keiyu Hospital, Yokohama 220-8521, Japan
Takafumi Ito, Department of Internal Medicine, Keiyu Hospital, Yokohama 220-8521, Japan
Author contributions: Tsunoda J interpreted the patient data based on the case notes and drafted the manuscript; Nishi T performed the surgery and supervised the manuscript; all other members equally contributed to the medical treatment.
Informed consent statement: Written informed consent was obtained from the patient for the publication of this case report and the accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tomohiko Nishi, MD, PhD, Deputy Director, Department of Surgery, Keiyu Hospital, 3-7-3 Minatomirai Nishi-ku, Yokohama 220-8521, Japan.
Received: November 15, 2021
Peer-review started: November 15, 2021
First decision: April 16, 2022
Revised: April 21, 2022
Accepted: May 27, 2022
Article in press: May 27, 2022
Published online: July 16, 2022
Processing time: 231 Days and 19 Hours
Peer-review started: November 15, 2021
First decision: April 16, 2022
Revised: April 21, 2022
Accepted: May 27, 2022
Article in press: May 27, 2022
Published online: July 16, 2022
Processing time: 231 Days and 19 Hours
Core Tip
Core Tip: Radiofrequency ablation (RFA) is an effective treatment for hepatocellular carcinoma (HCC). Delayed diaphragmatic hernia caused by RFA is uncommon; however, the best surgical approach to its treatment has not been determined. Herein, we present a rare case of delayed-onset diaphragmatic hernia due to RFA and its treatment with laparoscopic repair. This case highlights the ultimate importance of that RFA for HCC located close to the diaphragm should be performed using artificial ascites under computed tomography guidance to prevent an injury to the diaphragm. Laparoscopic treatment of iatrogenic diaphragmatic hernia is effective and minimally invasive.