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Robotic Intraoperative Tracheobronchial Repair during Minimally Invasive 3-Stage Esophagectomy
Alessandra Marano,Silvia Palagi,Luca Pellegrino,Felice Borghi 대한흉부외과학회 2021 Journal of Chest Surgery (J Chest Surg) Vol.54 No.2
Tracheobronchial injury (TBI) is an uncommon but potentially fatal event. Iatrogenic le- sions during bronchoscopy, endotracheal intubation, or thoracic surgery are considered the most common causes of TBI. When TBI is detected during surgery, concomitant sur- gical treatment is recommended. Herein we present a case of successful robotic primary repair of iatrogenic tracheal and left bronchial branch tears during a robot-assisted hybrid 3-stage esophagectomy after neoadjuvant chemoradiotherapy. A robotic approach can facilitate the repair of this injury while reducing both the potential risk of conversion to open surgery and the associated increased risk of postoperative respiratory complications.