%0 Online Multimedia %A Caso, Raul %A Marshall, M. Blair %D 2019 %T Robotic Sleeve Resection of the Bronchus Intermedius %U https://ctsnet.figshare.com/articles/media/Robotic_Sleeve_Resection_of_the_Bronchus_Intermedius/7680962 %R 10.25373/ctsnet.7680962.v1 %2 https://ctsnet.figshare.com/ndownloader/files/14284706 %K Thoracic %K Trachea and Bronchi %K Minimally Invasive %K Surgery %X
The authors have previously described a parenchymal-sparing sleeve resection of the bronchus intermedius for isolated strictures (1). Recently, they described a robotic parenchymal-sparing bronchus intermedius sleeve resection in a patient with a benign endobronchial lesion (2). In the video here, Caso and Marshall demonstrate the technical aspects of a complete portal robotic sleeve resection of the bronchus intermedius.
The patient was a 69-year-old woman who was found to have an endobronchial lesion that was not successfully resected endoscopically. A cautery artifact obscured the diagnosis with pathology suspicious for carcinoma, however the overall clinical picture was more suggestive of a benign lesion. The patient underwent a sleeve resection of the bronchus intermedius with final pathology showing benign adenoma. She tolerated the procedure well. There were no anastomotic or other complications.
Robotic-assisted thoracic surgery is increasingly being utilized for the performance of complex thoracic procedures. However, due to the concern with performing an oncologic resection and the steep learning curve, a minimally invasive sleeve resection and bronchial anastomosis has yet to be adopted by most thoracic surgeons. This video demonstrates the feasibility and utility of robotic-assisted thoracic surgery in the management of benign pathology of the bronchus intermedius.
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