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This video demonstrates robot-assisted hiatal hernia repair and Toupet fundoplication in a 10-year-old boy. The procedure illustrates the robotic approach to pediatric foregut surgery, including dissection of the esophageal hiatus, reduction of the hiatal hernia, and reconstruction of the gastroesophageal junction. Particular attention is given to identification of the diaphragmatic crura, preservation of surrounding structures, closure of the hiatal defect, and creation of a posterior partial fundoplication. The video highlights the use of articulated robotic instruments for precise dissection and suturing around the esophagus. This case provides a practical teaching reference for minimally invasive management of pediatric hiatal hernia and reflux-related conditions.
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