Int J Med Robot

. 2022 Nov 23;e2481.

 doi: 10.1002/rcs.2481. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36416620/

Synchronous robotic repair of anterior diaphragmatic (Morgagni) hernia & low anterior resection for rectal cancer

Joel Lambert ^1 2 3, Abdul Shugaba ^1 2 3, Adnan Sheikh ^1 3, Michael Gill ^1 3

Affiliations expand

• PMID: 36416620
• DOI: 10.1002/rcs.2481

Abstract

Background: We present the case report of synchronous trans-fascial repair of a large congenital Morgagni hernia (MH) and low anterior resection using a fully robotic approach.

Methods: A 61-year old female presented with fresh red blood in her stool. She had a previous history of abdominal hysterectomy and a performance status of 0. Imaging revealed a low rectal cancer and incidental large MH.

Results: Using the Da Vinci X platform the procedure was successfully performed; total operating time of 450 min, <200 ml blood loss and 5 days hospital stay. Post-operative scan at 6 months, 1 and 2 years showed no evidence of hernia or cancer recurrence.

Conclusion: We have demonstrated that complex multi-visceral procedures can be safely performed on fully robotic platforms, even in previously disturbed surgical fields. The robotic approach may provide the opportunity for seamless multi-speciality operating simultaneously in multiple body cavities.

Keywords: Da Vinci X; case report; diaphragmatic hernia; rectal cancer; robotic surgery; synchronous surgery.

© 2022 The Authors. The International Journal of Medical Robotics and Computer Assisted Surgery published by John Wiley & Sons Ltd.