European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
Uniportal Robotic-Assisted Sleeve Resection of the Left Main Bronchus and Secondary Carinal Reconstruction for Typical Carcinoid Tumour.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
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Rusca Giménez Mireia, Gonzalez-Rivas Diego, Gómez Tabales Juan, Bosinceanu Mugurel L, Illana Wolf Jennifer, Espinosa Jiménez Dionisio
Аннотация
Bronchial sleeve resection is the preferred technique over pneumonectomy for centrally located tumours, preserving lung function and improving survival. We present a uniportal robotic-assisted thoracic surgery (RATS) technique for left main bronchus (LMB) sleeve resection with secondary carinal reconstruction in a patient with a typical carcinoid tumour. Through a single 4 cm incision, the LMB and its bifurcation were resected and reconstructed using a continuous absorbable barbed suture. Postoperative recovery was uneventful, with chest drain removal and discharge on postoperative day 2. Final pathology confirmed tumour-free margins without lymph node involvement. Uniportal RATS offers a feasible and minimally invasive option for complex airway reconstruction, potentially improving postoperative recovery while maintaining oncological standards in selected patients with appropriate surgical expertise.