title: Intraoperative presentation of Bochdalek's hernia in an adult during robotic-assisted partial nephrectomy: An uncommon situation and literature review.
abstract: 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).
authors.affiliation: Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto. castellanpietro@gmail.com.
authors.forename: Luca
authors.initials: L
authors.lastname: Cindolo
authors.forename: Francesco
authors.initials: F
authors.lastname: Berardinelli
authors.forename: Arianna
authors.initials: A
authors.lastname: Manzi
authors.forename: Francesca
authors.initials: F
authors.lastname: Spagnuolo
authors.forename: Elisa
authors.initials: E
authors.lastname: Fabbri
authors.forename: Pietro
authors.initials: P
authors.lastname: Castellan
authors.forename: Flavia
authors.initials: F
authors.lastname: Petrini
authors.forename: Luigi
authors.initials: L
authors.lastname: Schips
mesh_terms: D000328:Adult; D005260:Female; D065630:Hernias, Diaphragmatic, Congenital / Q000601:surgery*; D006801:Humans; D033162:Incidental Findings; D007432:Intraoperative Period; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods; D059351:Organ Sparing Treatments / Q000379:methods; D065287:Robotic Surgical Procedures; D016896:Treatment Outcome