title: Transabdominal robotic repair of a congenital right diaphragmatic hernia containing an intrathoracic kidney: a case report.
abstract: Bochdalek diaphragmatic hernia is a rare condition and is typically diagnosed prior to adulthood. Furthermore, right-sided defects are also uncommon due to the location of the liver, but can contain colon, omentum, small bowel, or rarely the kidney. Minimally invasive laparoscopic and thoracoscopic diaphragmatic hernia repairs are associated with improved outcomes when compared to open approaches-recently, robotic-assisted repairs have been performed in children with no morbidity and minimal complications. We report a case of an 80-year-old female who presented with an enlarging right-sided Bochdalek hernia containing an acquired intrathoracic kidney that was repaired using a robotic-assisted laparoscopic transabdominal approach with mesh placement. In this case, the robotic platform's advantages included excellent visualization of the posterolateral defect and efficient suturing during mesh placement. This approach is a viable option for skilled minimally invasive surgeons; however, further studies are warranted to investigate its utility in the management of diaphragmatic hernia repair.
authors.affiliation: Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA.
authors.forename: Brendan
authors.initials: B
authors.lastname: Chen
authors.affiliation: Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA. bmf9002@nyp.org.
authors.forename: Brendan M
authors.identifier: http://orcid.org/0000-0002-0872-8341
authors.initials: BM
authors.lastname: Finnerty
authors.affiliation: Center for Gastrointestinal Medicine of Fairfield and Westchester, 500 West Putnam Avenue Suite 100, Greenwich, CT, 06830, USA.
authors.forename: Neal J
authors.initials: NJ
authors.lastname: Schamberg
authors.affiliation: Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA.
authors.forename: Anthony C
authors.initials: AC
authors.lastname: Watkins
authors.affiliation: Department of Urology, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA.
authors.forename: Joseph
authors.initials: J
authors.lastname: DelPizzo
authors.affiliation: Department of Surgery, New York Presbyterian Hospital-Weill Cornell Medical College, 525 E. 68th Street, New York, NY, 10065, USA. raz2002@med.cornell.edu.
authors.forename: Rasa
authors.initials: R
authors.lastname: Zarnegar
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000002:abnormalities* / Q000601:surgery*; D065287:Robotic Surgical Procedures / Q000379:methods*
keywords: Diaphragmatic hernia; Intrathoracic kidney; Robotic-assisted surgery; Transabdominal diaphragmatic hernia repair