Endo360⁰ Totally Endoscopic Left VATS Diaphragmatic Plication
Media is any form of research output that is recorded and played. This is most commonly video, but can be audio or 3D representations.
In this brief clinical video, the authors demonstrate the use of the Endo360⁰ suturing device from EndoEvolution (Assut Europe, SpA, Rome, Italy) for plication of the left hemidiaphragm. The authors believe that this is the first documented use of the Endo360⁰ for plication of the diaphragm.
The patient is a 66-year-old gentleman who underwent thyroidectomy for nonmalignant disease in 2014. He developed shortness of breath on exertion a few months after the procedure. He was evaluated and found to have iatrogenic left diaphragmatic paralysis. His performance status was 1, with FEV1 72%, FVC 104%, DLCO 90%, and KCO 119%. After obtaining the patient's informed consent and adequately preparing for the procedure, the patient was taken for elective video-assisted thoracoscopic (VATS) diaphragm plication. The video demonstrates the technique of using the Endo360⁰ in a three-port CO2-aided totally endoscopic VATS diaphragm plication.