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Robotic Intraoperative Tracheobronchial Repair during Minimally Invasive 3-Stage Esophagectomy

Marano Alessandra, Palagi Silvia, Pellegrino Luca, Borghi Felice,
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 ( Marano Alessandra ) - Santa Croce e Carle Hospital Department of Surgery
 ( Palagi Silvia ) - Santa Croce e Carle Hospital Department of Surgery
 ( Pellegrino Luca ) - Santa Croce e Carle Hospital Department of Surgery
 ( Borghi Felice ) - Santa Croce e Carle Hospital Department of Surgery

Abstract


Tracheobronchial injury (TBI) is an uncommon but potentially fatal event. Iatrogenic lesions during bronchoscopy, endotracheal intubation, or thoracic surgery are considered the most common causes of TBI. When TBI is detected during surgery, concomitant surgical 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.

키워드

Tracheal injury; Bronchial injury; Robotics; Esophageal neoplasms; Esophagectomy

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