https://doi.org/10.4081/aiua.2015.4.327

Intraoperative presentation of Bochdalek’s hernia in an adult during robotic-assisted partial nephrectomy: An uncommon situation and literature review

Vol. 87 No. 4 (2015)
Submitted: January 12, 2016
Accepted: January 12, 2016
Published: January 14, 2016
Bochdalek’s hernia, Diaphragmatic defect, Renal tumor, Partial nephrectomy, da Vinci robot
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Authors

Luca Cindolo
Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto, Italy.
Francesco Berardinelli
Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto, Italy.
Arianna Manzi
UOC Anestesia Rianimazione e Terapia Intensiva, ASL Abruzzo 2, Chieti, Italy.
Francesca Spagnuolo
UOC Anestesia Rianimazione e Terapia Intensiva, ASL Abruzzo 2, Chieti, Italy.
Elisa Fabbri
UOC Anestesia Rianimazione e Terapia Intensiva, ASL Abruzzo 2, Chieti, Italy.
Pietro Castellan
castellanpietro@gmail.com
Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto, Italy.
Flavia Petrini
UOC Anestesia Rianimazione e Terapia Intensiva, ASL Abruzzo 2, Chieti, Italy.
Luigi Schips
Urology Department, Robotic Unit, ASL Abruzzo 2, Vasto, Italy.
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).

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How to Cite

Cindolo, L., Berardinelli, F., Manzi, A., Spagnuolo, F., Fabbri, E., Castellan, P., Petrini, F., & Schips, L. (2016). Intraoperative presentation of Bochdalek’s hernia in an adult during robotic-assisted partial nephrectomy: An uncommon situation and literature review. Archivio Italiano Di Urologia E Andrologia, 87(4), 327–329. https://doi.org/10.4081/aiua.2015.4.327

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