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Updated: Jan 17, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
Published on: April 19, 2024
Case study: robotic foreign body removal of bullet in the aortopulmonary window
Julia Todderud1, Arvin Gee2, Duy Nguyen3
1Washington State University Elson S. Floyd College of Medicine, Spokane, WA, United States.
Abstract:
This case study reports on a 17-year-old male that underwent robotic assisted foreign body removal after sustaining a gunshot wound to the left upper arm that resulted in the bullet traversing through the chest wall to stop directly in the mediastinum at the aortopulmonary window. The proximity of the foreign body to the great vessels introduced challenges for preoperative imaging and surgical planning, thus becoming the focus of this unique case. Ultimately, the robotic-assisted removal of the bullet was successful without damage to the surrounding structures. To date, no known study has reported on robotic foreign body removal at this anatomic location.
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