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 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).

journal_name

J Pediatr Surg

authors

Meehan JJ,Sandler A

doi

10.1016/j.jpedsurg.2007.06.013

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

1757-60

issue

10

eissn

0022-3468

issn

1531-5037

pii

S0022-3468(07)00435-6

journal_volume

42

pub_type

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