Two cases of robot-assisted repair of bronchial injury caused during robot-assisted lobectomy

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  • ロボット支援下肺葉切除術中気道損傷に対してロボット支援下に修復を行った2例

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Abstract

<p>Bronchial injuries account for approximately 0.2% of intraoperative complications occurring during robot-assisted thoracic surgery (RATS) lobectomy. We report two cases of bronchial injury caused during RATS lobectomy in patients who underwent robot-assisted repair and provide an overview of the literature. Case 1: A 71-year-old woman with right upper lobe adenocarcinoma underwent RATS right upper lobectomy and ND2a-1. Intraoperatively, the right main membranous bronchus was injured during upper and lower interlobar dissection. Case 2: A 68-year-old woman with left upper lobe adenocarcinoma underwent RATS for left upper lobectomy and ND2a-1. The marginal membranous bronchus close to the bronchial stump was injured during lymph node and bronchus dissection. Both patients were classified as early cases. In the first case, the injury was thought to be caused by poor deployment and anatomic error during dissection of the peribronchial tissue, and in the second, it was thought to be caused by improper energization or stapler insertion. In both cases, the fistulae were sutured closed under RATS. Although avoidance of airway injury is necessary in robot-assisted lobectomy, robotic-assisted repair of airway injuries during RATS is safe.</p>

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