Research progress of diaphragm dysfunction after VATS lobectomy

VernacularTitle:VATS肺叶切除术后膈肌功能障碍的研究进展
Author: Dong LIANG ¹ ; Jian JIN ; Yunfei WANG ; Jiaxin WANG ; Zhijie SHANG ; Yuxuan WANG
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1. 山西医科大学第三医院　山西白求恩医院（山西医学科学院）　同济山西医院胸外科，太原　030032
Keywords: Thoracic surgery, video-assisted; Lung neoplasms; Diaphragm; Prognosis
From: International Journal of Surgery 2025;52(7):480-484
CountryChina
Language:Chinese
Abstract: Video-assisted thoracoscopic surgery (VATS) is the standard procedure for the treatment of lung cancer in the early and middle stages in recent years. The diaphragm is the main respiratory muscle that maintains effective pulmonary ventilation. Diaphragmatic dysfunction is a short-term or permanent dysfunction of one or both diaphragms caused by various factors, mainly manifested as diaphragm distension, diaphragm weakness and diaphragm paralysis, which can lead to respiratory dysfunction, even respiratory failure. This article reviews the etiology, clinical symptoms and signs, diagnosis, treatment and prognosis of diaphragmatic dysfunction after VATS lobectomy, aiming to provide clinicians with assessment methods and management framework for timely diagnosis and treatment of diaphragmatic dysfunction after VATS lobectomy, so as to optimize postoperative respiratory rehabilitation and improve long-term prognosis and quality of life of patients.