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. 2015 Oct;7(10):1857-60.
doi: 10.3978/j.issn.2072-1439.2015.10.48.

Totally robotic-assisted non-circumferential tracheal resection and anastomosis for leiomyoma in an elderly female

Wenjie Jiao  1 , Yandong Zhao  1 , Youjun Luo  1 , Hongmei Wang  1 , Xiuzhi Yang  1 , Xiaoyang Ren  1 , Liangdong Zhang  1 , Yiren Luo  1
Affiliations

Totally robotic-assisted non-circumferential tracheal resection and anastomosis for leiomyoma in an elderly female

Wenjie Jiao et al. J Thorac Dis. 2015 Oct.

Abstract

We describe a novel technique of totally robotic-assisted non-circumferential tracheal resection and running anastomosis with coverage of anastomosis with anterior mediastinal fat flap. A 71-year-old female presented with cough and CT scan revealed a mass at the intra-thoracic trachea. A complete robotic-assisted tracheal resection and anastomosis was performed. The postoperative course was uneventful. The final pathologic examination confirmed the diagnosis of primary tracheal leiomyoma.

Keywords: Tracheal tumor; minimally invasive surgery; robotics.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
(A) Coronal computed tomography showed a mass in the intra-thoracic trachea; (B) the flexible bronchoscopy showed the tracheal tumor.
Figure 2
Figure 2
(A) The incisions’ distribution for robotic tracheal resection; (B) photograph of the gross pathologic specimen; (C) computed tomography showed no stenosis on 14th day postoperative.
Figure 3
Figure 3
(A) The intra-thoracic trachea was dissected and the mass was exposed; (B) complete excision of the mass and the partial trachea was performed. The area of deletion of the tracheal wall was about 2.5 cm × 2 cm; (C) the cartilaginous portion and the membrane portion of the trachea were sutured with two 2-0 Prolene sutures; (D) the robotic clamp and needle holder were used to tie the suture knots following the anastomosis.
See this image and copyright information in PMC

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