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This video presents robot-assisted hiatal hernia repair, Nissen fundoplication, and gastrostomy in a 4-year-old boy weighing 12 kg. The procedure demonstrates a combined robotic approach to the esophageal hiatus and stomach in a pediatric patient. Key steps include exposure of the diaphragmatic crura, dissection and reduction of the hiatal hernia, closure of the hiatus, and construction of a 360-degree Nissen fundoplication. The video also demonstrates gastrostomy placement as part of the overall surgical management. The case highlights operative planning, tissue handling, and intracorporeal suturing in pediatric foregut surgery.
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