Abstract

: This is the case of a 52-year-old man with an unusual presentation of a hydatid cyst. The patient was diagnosed with a diaphragmatic paralysis over 20 years ago and presented an ever-increasing difficulty in breathing. A mediastinal mass traversing the left diaphragm was identified and a subsequent robotic resection with synchronous diaphragmatic repair was performed. To our knowledge this is the first case of a hydatid cyst resection with concomitant diaphragmatic repair using a robotic platform, without which we believe an open laparotomy would have been the operation of choice, given the technical difficulties of a standard laparoscopy. The patient has had an uneventful recovery, discharged on the fifth day post-op and his respiratory symptoms have completely regressed.

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