Abstract
This is a 63-year-old man with a history of hypertension, hyperlipidemia, diabetes, and prior coronary bypass grafting who developed progressive dyspnea on exertion. Workup demonstrated a giant type IV paraesophageal hernia involving his stomach and spleen. He underwent a robot-assisted paraesophageal hernia repair with partial (270-degree) fundoplication and gastropexy after reduction of the intraabdominal contents from the left chest, which required the splitting of the left crus. He did well postoperatively. Our video illustrates highlights from this unusual case.
Video:
Preoperative images and intraoperative video highlighting the important aspects of a robot-assisted paraesophageal hernia repair with partial fundoplication and gastropexy in a patient with a giant type IV paraesophageal hernia involving the stomach and spleen.
The authors have no conflicts of interest or financial ties to disclose.
Runtime of video:
3 mins 59 secs
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