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Fig. 2 | Surgical Case Reports

Fig. 2

From: A case of pleuroperitoneal communication in which establishing a laparoscopic pneumoperitoneum was useful for the detection of a fistula

Fig. 2

Diagram of the surgery and surgical view. a VATS in the left-sided half-lateral decubitus position; one skin incision was made to the right side of the navel, and a laparoscope was inserted into this port (blue round). b A thinned diaphragm was detected at the central tendon of the diaphragm (arrow). c Bubbles were observed at this small pore after pneumoperitoneum (arrowhead). d The small pore was closed with 4-0 non-absorbable monofilament sutures. e The central tendon around the reinforcement was covered with a sheet of absorbable polyglycolic acid felt and sprayed with fibrin glue

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