Department of General Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan.
Medicine (Baltimore). 2024 Oct 25;103(43):e39918. doi: 10.1097/MD.0000000000039918.
Congenital diaphragmatic hernia (CDH) is a rare condition predominantly affecting neonates, with only a few cases remaining undetected until adulthood. Surgical repair is the primary treatment approach for adults with confirmed CDH. Traditionally, these procedures include laparotomy, thoracotomy, and minimally invasive techniques such as thoracoscopy and laparoscopy. However, only a few cases of robotic diaphragmatic hernia repair have been reported in recent decades.
The patients, aged 31 and 71 years, presented with atypical symptoms of chest tightness and fever. Imaging studies revealed a left-sided Bochdalek CDH in 1 patient and a right-sided Morgagni CDH in the other.
The patients were diagnosed as CDH in adult with different symptoms.
Both patients received robot-assisted diaphragmatic hernia repair at our institution.
The patients received robotic-assisted diaphragmatic hernia repair with acceptable surgery outcome and safety. There was no complication or recurrence.
This case series indicates that the robotic transabdominal approach for CDH repair in adults can be an optimal minimally invasive approach for selected patients, demonstrating adequate surgical safety and favorable outcomes.
先天性膈疝（CDH）是一种罕见的疾病，主要影响新生儿，只有少数病例直到成年才被发现。对于确诊的 CDH 成人，手术修复是主要的治疗方法。传统上，这些手术包括剖腹术、开胸术和微创技术，如胸腔镜和腹腔镜。然而，近几十年来，只有少数几例机器人膈疝修复的病例被报道。
两名患者年龄分别为 31 岁和 71 岁，表现为不典型的胸闷和发热症状。影像学检查显示 1 例为左侧 Bochdalek CDH，另 1 例为右侧 Morgagni CDH。
两名患者均被诊断为成人 CDH，症状不同。
两名患者均在我院接受机器人辅助膈疝修复。
两名患者均接受了机器人辅助膈疝修复，手术结果和安全性可接受。没有并发症或复发。
本病例系列表明，对于选定的患者，机器人经腹入路治疗成人 CDH 是一种最佳的微创方法，具有足够的手术安全性和良好的结果。
