Robotic Approach to Giant Paraesophageal Hernia Repair

Juan P Toro, MD, Hernan D Urrego, MD, Aliu O Sanni, MD, John F Sweeney, MD, S. Scott Davis Jr., MD, Edward Lin, DO, MBA, Ankit D Patel, MD. Department of Surgery, Emory University. Atlanta, GA.

The repair of large paraesophageal hernias is still a demanding procedure even for experienced laparoscopic surgeons. The anatomy of the hiatus with a narrow working space, the use of rigid instruments and the 2D visualization may be limitations of regular laparoscopy. The robotic platform may potentially overcome these limitations with a better visualization and wider range of motion. We present the video of a 38-year-old female patient with severe GERD and a large paraesophageal hernia of 7.3 x 6cm in size. Robotic-assisted repair was performed successfully. We use this video as a tool to highlight an effective OR setup and docking for foregut procedures.

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