Robotic TAPP Repair of a Morgagni Hernia

Case Presentation  A 55-year-old female was evaluated for a large, asymptomatic Morgagni hernia containing the transverse colon and a significant portion of the greater omentum that had been incidentally noted on imaging. Preoperative imaging demonstrated a sizable anterior diaphragmatic defect measuring approximately 30 cm². Elective operative repair of this hernia was chosen. Given the size…

Left VATS Pneumonectomy in Pediatric Pulmonary Mucoepidermoid Carcinoma

Pulmonary mucoepidermoid carcinoma (PMEC) is a rare salivary-gland–type endobronchial malignancy in children and may present with recurrent unilateral infections despite a deceptively subtle chest radiograph. The authors present an educational case of an adolescent male with months of febrile respiratory episodes treated as pneumonia, including hypoxemia requiring oxygen and repeated hospital admissions. Subsequent bronchoscopy demonstrated…

When Size Is Not a Limitation: Thoracoscopic Resection of a Large Mediastinal Cyst

There are several surgical techniques to access the mediastinum and thoracic cavity. For the removal of large mediastinal tumors, the most commonly employed methods are midline sternotomy or a lateral thoracotomy. Less frequently, incisions such as the classic clamshell or hemi-clamshell are used. While minimally invasive techniques such as robotic-assisted surgery and video-assisted thoracic surgery…