case_images: PMC6597496_01
case_images: Preoperative images of the Bochdalek hernia.. CT reveals herniation of the gastric corpus through the left posterior diaphragm (white arrow) in a coronal view (a) and a sagittal view (b).
case_images: gr1.jpg
case_images: PMC6597496_01_gr1.jpg
case_images: fig0005
case_images: Contrast-enhanced computed tomography (CT) scan confirmed herniation of the gastric corpus through the left posterior part of the diaphragm (Fig. 1).
case_images: HALS for repair of the Bochdalek hernia.. a. Adhesions around the hernial orifice were carefully removed by HALS.. b. A 5 x 3 cm hernial orifice with a sac was observed.. c. The defect was repaired with interrupted nonabsorbable sutures.
case_images: gr2.jpg
case_images: PMC6597496_01_gr2.jpg
case_images: fig0010
case_images: ACE shears (Ethicon, NJ, USA) (Fig. 2a), the stomach was completely freed and could be returned to the abdominal cavity. A 5 x 3 cm hernial defect with sac was observed (Fig. 2b). Accordingly, the defect was repaired with interrupted nonabsorbable sutures (2-0 Nesporen; Alfresa Pharma Corporation, Osaka, Japan) using a 5 mm port on the left upper abdomen and the surgeon's left hand via the hand port (Fig. 2c).