Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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Robotic Intraoperative Tracheobronchial Repair during Minimally Invasive 3-Stage Esophagectomy

  • Marano, Alessandra (Department of Surgery, General and Oncologic Surgery Unit, Santa Croce e Carle Hospital) ;
  • Palagi, Silvia (Department of Surgery, General and Oncologic Surgery Unit, Santa Croce e Carle Hospital) ;
  • Pellegrino, Luca (Department of Surgery, General and Oncologic Surgery Unit, Santa Croce e Carle Hospital) ;
  • Borghi, Felice (Department of Surgery, General and Oncologic Surgery Unit, Santa Croce e Carle Hospital)
  • Received : 2020.05.20
  • Accepted : 2020.07.14
  • Published : 2021.04.05
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Abstract

Tracheobronchial injury (TBI) is an uncommon but potentially fatal event. Iatrogenic lesions during bronchoscopy, endotracheal intubation, or thoracic surgery are considered the most common causes of TBI. When TBI is detected during surgery, concomitant surgical treatment is recommended. Herein we present a case of successful robotic primary repair of iatrogenic tracheal and left bronchial branch tears during a robot-assisted hybrid 3-stage esophagectomy after neoadjuvant chemoradiotherapy. A robotic approach can facilitate the repair of this injury while reducing both the potential risk of conversion to open surgery and the associated increased risk of postoperative respiratory complications.

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References

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