Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture

Author:

Kim Jin K.1,Desai Anand1,Kunac Anastasia2,Merchant Aziz M.3,Lovoulos Constantinos4

Affiliation:

1. Department of Surgery, Rutgers New Jersey Medical School, Newark, New Jersey

2. Division of Trauma and Critical Care, Rutgers New Jersey Medical School, Newark, New Jersey

3. Division of General and Minimally Invasive Surgery, Rutgers New Jersey Medical School, Newark, New Jersey

4. Division of Cardiothoracic Surgery, Rutgers New Jersey Medical School, Newark, New Jersey

Abstract

Abstract Introduction Traumatic diaphragm rupture injury repairs are predominately performed through thoracotomy, laparotomy, or a combination of the two approaches. While open surgery is often necessary to follow the fundamentals of damage-control operations in unstable or polytrauma patients, minimally invasive surgery may be an alternative for those with a low injury burden to reduce the postoperative morbidities associated with open operations. Case Description We describe the first case of a right-sided diaphragm rupture from blunt trauma that was repaired by a robotic transthoracic approach in the index admission. Conclusion Minimally invasive repair of an acute traumatic diaphragm rupture is feasible in selected trauma patients.

Publisher

Georg Thieme Verlag KG

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