Uniportal robotic right lower sleeve lobectomy

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Robotic Surgery

Background:

• Bronchial sleeve lobectomies are complex surgical procedures.
• Robotic-assisted surgery offers potential advantages, particularly for bronchial anastomosis.
• Endobronchial tumors require specialized resection techniques.

Purpose of the Study:

• To present a case of uniportal robotic sleeve lower lobectomy for an endobronchial tumor.
• To highlight the technical aspects and outcomes of robotic-assisted bronchial anastomosis.
• To demonstrate the feasibility of this approach for challenging tumor locations.

Main Methods:

• A uniportal robotic approach was utilized for a right lower sleeve lobectomy.
• A single 4-cm incision was made in the sixth intercostal space.
• An end-to-end anastomosis was performed between the intermediate and middle lobe bronchi.

Main Results:

• The procedure involved a right lower sleeve lobectomy with middle lobe anastomosis.
• Postoperative examination confirmed a well-healed anastomosis.
• The patient was discharged on postoperative day 5.
• Histology revealed a 2-cm atypical carcinoid tumor without lymph node metastasis.

Conclusions:

• Uniportal robotic sleeve lower lobectomy is a viable and effective technique for endobronchial tumors.
• The robotic system facilitates complex bronchial reconstructions, including anastomosis.
• This minimally invasive approach offers good outcomes with early patient recovery.