Robotic Assisted Thoracoscopic Repair of Iatrogenic Tracheal Rupture

Melinte, Alexandru; Steriade, Alexandru Tudor; Pavel, Georgiana; Ceausescu, Catalina; Dobritoiu, Felix; Copăescu, C

doi:10.21614/chirurgia.2807

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2023

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“…In view of the experience of the surgical team, robotically assisted approach was used to successfully repair the lesion. 6 Brito et al performed a robotic assisted repair of a tracheal tear which had occurred as a complication of mechanical ventilation in an elderly lady who had developed severe COVID-19. They used ECMO to maintain oxygenation during the procedure.…”

Section: Discussionmentioning

confidence: 99%

Robotic intraoperative tracheal repair during retrosternal malignant goiter excision: an anesthetic challenge

et al. 2023

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Thyroidectomy is the treatment of choice for large retrosternal goiters. These tumors often are large enough to require thoracotomy. Robotic surgery can help in avoiding thoracotomy and its associated post operative complications. Rarely, such tumors and their surgery can be complicated by tracheal tears. Such tears, especially those near the carina are difficult to repair and often require open thoracotomy. We described such a case where we avoided open thoracotomy and instead performed a minimally invasive robotic repair of tracheal tear. The maintenance of ventilation during this robotic repair was critical. A combination of several airway devices was used to allow the complex surgical repair to be executed without affecting ventilation.

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Section: Discussionmentioning

confidence: 99%