{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,14]],"date-time":"2026-07-14T07:30:15Z","timestamp":1784014215383,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","issue":"11","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,10,6]]},"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:p>Right-sided blunt traumatic diaphragmatic injury (TDI) is a rare injury that is rarely repaired by the minimally invasive approach in the acute setting. Laparoscopic repair of right-sided TDI is challenging because the liver often obstructs access to the injury site. Herein, we report a case wherein acute right-sided blunt TDI was successfully repaired using a combined laparoscopic and thoracoscopic approach. A 30-year-old man presented with shortness of breath after falling on his back while jumping on a snowboard. CT revealed a right-sided TDI. As the patient was haemodynamically stable, laparoscopic repair was planned. Laparoscopy revealed a right-sided diaphragmatic rupture. As the posterior portion was covered by the liver and difficult to access, we added trocars in the chest cavity and closed the diaphragmatic defect with a thoracic approach. A combined laparoscopic and thoracoscopic approach can repair right-sided diaphragmatic injury by a minimally invasive approach even in the acute setting.<\/jats:p>","DOI":"10.1136\/bcr-2020-235870","type":"journal-article","created":{"date-parts":[[2020,11,4]],"date-time":"2020-11-04T16:36:26Z","timestamp":1604507786000},"page":"e235870","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Minimally invasive repair of right-sided blunt traumatic diaphragmatic injury"],"prefix":"10.1136","volume":"13","author":[{"given":"Keiko","family":"Shichiri","sequence":"first","affiliation":[{"name":"Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyotaka","family":"Imamura","sequence":"additional","affiliation":[{"name":"Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minoru","family":"Takada","sequence":"additional","affiliation":[{"name":"Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshiyasu","family":"Anbo","sequence":"additional","affiliation":[{"name":"Surgery, Teine Keijinkai Hospital, Sapporo, Hokkaido, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2020,11,4]]},"reference":[{"key":"2025082701503665000_13.11.e235870.1","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1016\/j.amjsurg.2014.12.023","article-title":"Traumatic diaphragmatic injury in the American College of surgeons national trauma data bank: a new examination of a rare diagnosis","volume":"209","author":"Fair","year":"2015","journal-title":"Am J Surg"},{"key":"2025082701503665000_13.11.e235870.2","first-page":"461","article-title":"Traumatic rupture of both leaves of the diaphragm","volume":"37","author":"Manlove","year":"1955","journal-title":"Surgery"},{"key":"2025082701503665000_13.11.e235870.3","doi-asserted-by":"crossref","first-page":"665","DOI":"10.1007\/s00068-011-0153-y","article-title":"Partial liver herniation into the right chest following trauma: a delayed presentation as acute injury managed by laparoscopically assisted mini-thoracotomy","volume":"37","author":"Diven","year":"2011","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2025082701503665000_13.11.e235870.4","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1097\/TA.0000000000001924","article-title":"Evaluation and management of traumatic diaphragmatic injuries: a practice management guideline from the eastern association for the surgery of trauma","volume":"85","author":"McDonald","year":"2018","journal-title":"J Trauma Acute Care Surg"},{"key":"2025082701503665000_13.11.e235870.5","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.amjsurg.2014.12.011","article-title":"Laparoscopic surgery for trauma: the realm of therapeutic management","volume":"209","author":"Zafar","year":"2015","journal-title":"Am J Surg"},{"key":"2025082701503665000_13.11.e235870.6","doi-asserted-by":"crossref","first-page":"342","DOI":"10.4174\/astr.2018.94.6.342","article-title":"Right-Sided diaphragmatic rupture in a poly traumatized patient","volume":"94","author":"Lee","year":"2018","journal-title":"Ann Surg Treat Res"},{"key":"2025082701503665000_13.11.e235870.7","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199308000-00014"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-235870","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T08:50:46Z","timestamp":1756284646000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-235870"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11]]},"references-count":7,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11,4]]},"published-print":{"date-parts":[[2020,11]]}},"alternative-id":["10.1136\/bcr-2020-235870"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-235870","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11]]}}}