Robotic Portal Left Mainstem Bronchus Sleeve Resection by Left Transthoracic Approach.

Anastomosis of the proximal left mainstem bronchus is challenging. A 70-year-old female patient was referred to our hospital for surgical intervention for a tumor in the left main bronchus. The tumor was located in the left mainstem bronchus, and sleeve resection of the left mainstem bronchus was planned. The operation was performed using a da Vinci Xi robot (Intuitive Surgical, Sunnyvale, CA). The 1- and 3-ring from the carina of the left main bronchus were both circumferentially dissected, and a bronchial end-to-end anastomosis was performed using running sutures. Follow-up bronchoscopy 6 months after surgical resection did not show any evidence of anastomotic complications.