Fig. 2From: A case of pleuroperitoneal communication in which establishing a laparoscopic pneumoperitoneum was useful for the detection of a fistulaDiagram 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 glueBack to article page