Kim Jin K, Desai Anand, Kunac Anastasia, Merchant Aziz M, Lovoulos Constantinos
Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey.
Division of Trauma and Critical Care, Rutgers New Jersey Medical School, Newark, New Jersey.
Surg J (N Y). 2020 Sep 28;6(3):e164-e166. doi: 10.1055/s-0040-1716330. eCollection 2020 Jul.
Traumatic diaphragm rupture injury repairs are predominately performed through thoracotomy, laparotomy, or a combination of the two approaches. While open surgery is often necessary to follow the fundamentals of damage-control operations in unstable or polytrauma patients, minimally invasive surgery may be an alternative for those with a low injury burden to reduce the postoperative morbidities associated with open operations. We describe the first case of a right-sided diaphragm rupture from blunt trauma that was repaired by a robotic transthoracic approach in the index admission. Minimally invasive repair of an acute traumatic diaphragm rupture is feasible in selected trauma patients.
创伤性膈肌破裂损伤修复主要通过开胸手术、开腹手术或两种方法联合进行。虽然在不稳定或多发伤患者中，开放手术通常是遵循损伤控制手术基本原则所必需的，但对于损伤程度较轻的患者，微创手术可能是一种替代方法，以减少与开放手术相关的术后发病率。我们描述了首例在首次入院时通过机器人辅助经胸入路修复钝性创伤导致的右侧膈肌破裂的病例。在选定的创伤患者中，急性创伤性膈肌破裂的微创修复是可行的。
