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1990:
Scudamore C H; Shackleton C R; Fache J S; Forward A D; Erb S R
Diaphragmatic resection in association with right hepatectomy.
Canadian journal of surgery. Journal canadien de chirurgie 1990;
33(
1):.
Ten cases of combined diaphragmatic and hepatic resection for tumours involving both structures are described. A complete work-up, including ultrasonography and computed tomography, usually can predict potential direct spread to the diaphragm. Up to 50% of the diaphragm can be excised and reconstructed without the need for prosthetic mesh or tissue transfer. Diaphragmatic resection does not appear to cause long-term postoperative morbidity. Diaphragmatic invasion by primary or secondary tumours does not preclude resection for cure. Pulmonary function studies are not necessary if there is no serious pre-existing lung disease.
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