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Updated: Feb 12, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Robot-assisted thoracoscopic lobectomy as treatment of a giant bulla
Rosa Roemers1, Kornelis Patberg2, Caroline van de Wauwer3
1Department of Cardio-thoracic Surgery, Universitair Medisch Centrum Groningen (UMCG), Hanzeplein 1, 9700 RB, Groningen, The Netherlands. rosaroemers@hotmail.com.
Background:
A bulla is a marked enlarged space within the parenchyma of the lung. Bullae may cause dyspnea by compressing healthy lung parenchyma and can cause a pneumothorax. Also, bullae are associated with malignancy, therefore surgical bullectomy is indicated on preventive basis. This case is unique and therefore valuable because of the remarkable presentation, innovative treatment and the spectacular improvement of lung function and socio-economic performance of the patient.
Case Presentation:
In this case report we describe the presentation, minimally invasive surgical treatment by means of a robot-assisted lobectomy and postoperative outcome of a young patient with a giant congenital bulla of the left upper lobe.
Conclusions:
In this case robot-assisted lobectomy has shown spectacular improvement of lung function and fast-track recovery with beneficial socio-economic performance in a young patient with a giant congenital bulla.
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