Intraoperative presentation of Bochdalek’s hernia in an adult during robotic-assisted partial nephrectomy: An uncommon situation and literature review

Archivio Italiano di Urologia e Andrologia

Francesca Spagnuolo¹  Elisa Fabbri¹  Arianna Manzi¹  Flavia Petrini¹  Francesco Berardinelli²  Luigi Schips²  Luca Cindolo²  Pietro Castellan² 

[1] UOC Anestesia Rianimazione e Terapia Intensiva, ASL Abruzzo 2, Chieti;Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto;

关键词: Bochdalek’s hernia;    Diaphragmatic defect;    Renal tumor;    Partial nephrectomy;    da Vinci robot;   

DOI  :  10.4081/aiua.2015.4.327

来源: DOAJ

【 摘 要 】

Bochdalek's diaphragmatic hernia (BDH) is a congenital defect of the diaphragm that usually present during the neonatal period and rarely remain silent until adulthood. We present a 45-year-old-female case with diagnosis of double left kidney tumor prepared for robot-assisted partial nephrectomy (RPN). During the preoperative procedure she had a reduction of inspiratory volumes and increased pulmonary pressures: the robotic camera revealed the incidental presence of the left diaphragmatic defect. We report a simultaneous nephron sparing surgery (NSS) and left posterolateral BDH correction done by the da Vinci Surgical Robot (Intuitive Surgical, Sunnyvale, CA).

【 授权许可】

Unknown