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Robotic Transthoracic Repair of a Right-Sided Traumatic Diaphragmatic Rupture

Authors
  • Kim, Jin K.1
  • Desai, Anand1
  • Kunac, Anastasia2
  • Merchant, Aziz M.3
  • Lovoulos, Constantinos4
  • 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
Type
Published Article
Journal
The Surgery Journal
Publisher
Thieme Medical Publishers
Publication Date
Sep 28, 2020
Volume
6
Issue
3
Identifiers
DOI: 10.1055/s-0040-1716330
PMID: 33005735
PMCID: PMC7521942
Source
PubMed Central
Keywords
License
Green

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.

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