Link: http://www.ncbi.nlm.nih.gov/pubmed/26766808

Arch Ital Urol Androl. 2016 Jan 14;87(4):327-9. doi: 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.
Cindolo L1, Berardinelli F, Manzi A, Spagnuolo F, Fabbri E, Castellan P, Petrini F, Schips L.
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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).
PMID: 26766808 [PubMed - indexed for MEDLINE] Free full text