Two-port Video-Assisted Thoracoscopic Plication Using Porous Nitinol Pledgets for Diaphragmatic Paralysis

Evgeniy Topolnitskiy, Timofey Chekalkin, Ekaterina Marchenko, Ji-Hoon Kang, Department of Surgery, Siberian State Medical University, Laboratory of Medical Materials, National Research Tomsk State University, D Center, TiNiKo Co, South Korea

Surgical Innovation

Published online on May 26, 2026

Abstract

Surgical Innovation, Ahead of Print.
BackgroundDiaphragmatic plication is a standard treatment for symptomatic unilateral diaphragmatic paralysis, but the best minimally invasive technique and reinforcement material remain debated. We evaluated a two-port VATS plication technique using ...