Robotic-assisted bronchial reimplantation for post-tuberculosis bronchial stenosis: surgical technique

This report presents a novel robotic-assisted surgical technique for bronchial reimplantation in patients with complete bronchial stenosis after tuberculosis treatment. A 34-year-old female patient with progressive dyspnoea was diagnosed with complete bronchial stenosis and total left lung atelectasis. After unsuccessful bronchial dilation attempts, robotic-assisted bronchial reimplantation with veno-venous extracorporeal membrane oxygenation support was undertaken. Intra-operative bronchoscopy ensured airway patency throughout the procedure. At 1-year follow-up, the patient remained asymptomatic in daily activities, with no late complications or restenosis, reinforcing the long-term efficacy of the procedure. This technique demonstrates the potential for enhanced surgical outcomes in managing complex bronchial stenosis. The findings highlight the viability of this advanced technique in improving respiratory function and patient recovery.