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

Authors

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

DOI:

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

Keywords:

Bochdalek’s hernia, Diaphragmatic defect, Renal tumor, Partial nephrectomy, da Vinci robot

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).

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Published

14-01-2016

Issue

Vol. 87 No. 4 (2015)

Section

Case Reports - Stones and Infections

License

PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.

How to Cite

Intraoperative presentation of Bochdalek’s hernia in an adult during robotic-assisted partial nephrectomy: An uncommon situation and literature review. (2016). Archivio Italiano Di Urologia E Andrologia, 87(4), 327-329. https://doi.org/10.4081/aiua.2015.4.327