ArticleAnnals of hepato-biliary-pancreatic surgery2021
Acquired diaphragmatic hernia after hepatectomy and liver transplantation in adults and children: A case series and literature review.
Article in Annals of hepato-biliary-pancreatic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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4 citing papers in PubMed, 12 citations in OpenAlex.
- Does anhepatic phase duration affect diaphragmatic hernia after pediatric liver transplantation? A single-center experience analyzed from a pool of nearly 2000 cases.Pediatric surgery international · 2026Article
- Diaphragmatic hernia after pediatric liver transplantation: graft-specific incidence, clinical characteristics, and outcomes.Frontiers in pediatrics · 2026Article
- Strangulated necrotic gastric fundus due to diaphragmatic hernia presenting with hydropneumothorax 5 years after left hepatic lobectomy: a case report and literature review.Frontiers in surgery · 2026Article
- Acquired right-sided diaphragmatic hernia after pediatric living donor transplantation: a guide for the non-transplant pediatric surgeon.Frontiers in pediatrics · 2025Article
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Authors and funding
8 authors at 4 institutions in 1 country.
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Abstract
BACKGROUNDS/
aimsAcquired diaphragmatic hernia is a rare complication following liver surgery in adult and pediatric patients. This study aims to describe main features occurring in adult and pediatric patients after liver surgery and report an up-date review of the literature.
methodsAll adult and pediatric patients who were diagnosed with postoperative acquired diaphragmatic hernia in Lyon and Marseille University Hospitals were included in this study. Diagnosis, clinical, radiologic, and therapeutic data were analysed retrospectively from medical papers and/or electronic records.
resultsThirteen adults with a median age of 50 years (range, 30-67 years) and 5 children aged 2.4 years (range, 0.9-4 years) were diagnosed with acquired diaphragmatic hernia after a median time of 65.1 (range, 1.8-244.7) and 2 (range, 0.33-10.9) months, respectively, following surgeries (5 live-donor right hepatectomies, 5 right and 1 left hepatectomies for tumors and cysts, and 2 whole liver transplantations in adults; and 5 liver transplantations with left lateral section in children). Eleven patients presented digestive and/or thoracic symptoms whereas seven were asymptomatic and diagnosed by routine imaging follow-up. All patients were re-operated with a median delay of 2.4 months (range, 0-25.3 months) for adults and 1 day (range, 0-2 days) for children. Two recurrences resulted in a secondary surgical repair.
conclusionsAcquired diaphragmatic hernia is a rare and potentially serious event after liver surgery. Recognition and surgical repair of this particular complication should be considered in the setting of unexplained abdominal and/or thoracic symptoms. Preventive measures should be taken intraoperatively.
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