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Case Reports
. 2019 Feb;10(2):378-380.
doi: 10.1111/1759-7714.12955. Epub 2018 Dec 29.

Robotic circumferential tracheal resection and reconstruction via a completely portal approach

Tong Qiu  1 , Yandong Zhao  1 , Jianfang Song  2 , Wenjie Jiao  1
Affiliations
Case Reports

Robotic circumferential tracheal resection and reconstruction via a completely portal approach

Tong Qiu et al. Thorac Cancer. 2019 Feb.

Abstract

Robotic surgery for circumferential tracheal resection and reconstruction has not previously been reported. Herein we describe the case of a 48-year-old man with primary extra-luminal tracheal leiomyosarcoma. A preoperative bronchoscopy exam and chest computed tomography revealed a tracheal neoplasm, which derived from lower membranous trachea and nearly obstructed the orifice of the left main bronchus. The patient underwent circumferential tracheal resection and reconstruction via a completely portal robotic approach with four arms. Benefitting from flexible instruments and a three-dimensional magnified view, telescope anastomosis was performed and modulated. No postoperative complications presented. Follow-up showed the reconstructed trachea without stenosis or recurrence.

Keywords: Anastomosis; robotic surgery; trachea.

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Figures

Figure 1
Figure 1
Bronchoscope exam shows the terminal trachea and carina (a) before and (b) after surgery.
Figure 2
Figure 2
(a) Tumor derived from the lower membranous trachea. *: Transected arch of the azygos vein. Anastomosis of (b) cartilaginous trachea with a transthoracic endotracheal tube and (c) membranous trachea with an oral approach endotracheal tube. (d) Knots on the midpoint of the membranous trachea.
See this image and copyright information in PMC

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