Hunter Lucas M, Mozer Anthony B, Anciano Carlos J, Oliver Aundrea L, Iannettoni Mark D, Speicher James E
1 Department of Cardiovascular Sciences, East Carolina University Brody School of Medicine, Greenville, NC, USA.
Innovations (Phila). 2019 Feb;14(1):69-74. doi: 10.1177/1556984518823642. Epub 2019 Feb 11.
Bochdalek hernia is a congenital diaphragmatic hernia that presents rarely in adulthood. Because of the paucity of cases, no standard repair technique has been identified. Here we present two cases of robotic, thoracoscopic repair of this rare hernia defect. Two separate adult patients with right-sided abdominal pain presented to the emergency department for evaluation. Both patients were diagnosed with right-sided Bochdalek hernia and repair was undertaken with a robotic, transthoracic approach. Repair technique is described in detail, including port placement, dissection technique, and repair strategy. Advantages of the robotic, transthoracic approach are discussed in detail. A transthoracic minimally invasive approach using a robotic platform is noted to be both feasible and practical in the treatment of adult Bochdalek hernia.
波氏疝是一种先天性膈疝，在成年期很少出现。由于病例稀少，尚未确定标准的修复技术。在此，我们展示两例通过机器人辅助胸腔镜修复这种罕见疝缺损的病例。两名成年患者因右侧腹痛到急诊科就诊以进行评估。两名患者均被诊断为右侧波氏疝，并采用机器人辅助经胸入路进行修复。详细描述了修复技术，包括端口放置、解剖技术和修复策略。详细讨论了机器人辅助经胸入路的优点。使用机器人平台的经胸微创入路在治疗成人波氏疝方面被认为是可行且实用的。
