Robotic repair of a bochdalek congenital diaphragmatic hernia in a small neonate: robotic advantages and limitations

Abstract Minimally invasive repair for a Bochdalek congenital diaphragmatic hernia has been performed over the last few years with mixed results. Although the anomaly has been approached from both the abdomen and the chest, the defect can be difficult to close as the posterolateral region may be dif...

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Bibliographic Details
Published in:Journal of pediatric surgery 2007-10, Vol.42 (10), p.1757-1760
Main Authors: Meehan, John J, Sandler, Anthony
Format: Article
Language:English
Subjects:
Body Size
Equipment Design
Female
Hernia, Diaphragmatic - diagnostic imaging
Hernia, Diaphragmatic - embryology
Hernia, Diaphragmatic - surgery
Hernias, Diaphragmatic, Congenital
Humans
Hypertension, Pulmonary - congenital
Hypertension, Pulmonary - etiology
Infant, Low Birth Weight
Infant, Newborn
Laparoscopy - methods
Minimally Invasive Surgical Procedures
Pediatrics
Robotics
Surgery
Ultrasonography, Prenatal
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Summary:Abstract Minimally invasive repair for a Bochdalek congenital diaphragmatic hernia has been performed over the last few years with mixed results. Although the anomaly has been approached from both the abdomen and the chest, the defect can be difficult to close as the posterolateral region may be difficult to reach with precise suturing using standard rigid laparoscopic instruments. The articulating instruments of robotic surgery offer a substantial improvement in degrees of freedom and may help over come these obstacles. However, other limitations including instrument length in relation to patient size need to be accounted for when planning a robotic procedure in small children. We present a robotic repair of a foramen of Bochdalek congenital diaphragmatic in a 2.2 kg neonate using and abdominal approach with the Da Vinci Surgical Robot (Intuitive Surgical, Sunnyvale, CA).
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2007.06.013