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Chinese Journal of Thoracic Surgery(Electronic Edition) ›› 2022, Vol. 09 ›› Issue (04): 212-216. doi: 10.3877/cma.j.issn.2095-8773.2022.04.03

• Focus on Robotic Surgery • Previous Articles     Next Articles

Robotic-assisted thoracic surgery for airway resection and reconstruction: a report of 6 cases and literature review

Chudong Wang1, Rui Wang1, Chao Yang1, Shuben Li1,()   

  1. 1. Department of Thoracic Surgery and Oncology, the First Affiliated Hospital of Guangzhou Medical University, State Key Laboratory of Respiratory Disease, National Clinical Research Center for Respiratory Disease, Guangzhou Institute of Respiratory Health, Guangzhou 510120, China
  • Received:2022-05-07 Revised:2022-08-22 Accepted:2022-11-01 Online:2022-11-28 Published:2022-12-15
  • Contact: Shuben Li

Abstract:

Objective

To evaluate the clinical feasibility of robotic-assisted thoracic surgery for partial resection and reconstruction of the airway.

Methods

Review the clinical data of 6 patients who received the robotic-assisted airway resection and reconstruction in our center.

Results

All surgical procedures were successful without being converted to thoracotomy. The operative time was 342.5 (67.5) min; the blood loss was 20.0 (30.0) mL; the time of postoperative drainage tube placement was 4.0 (4.5) days; and the duration of postoperative hospital stay was 8.5 (3.3) days. No re-intubated or re-operative case occurred perioperatively. Surveillance bronchoscopy and computed tomography (CT) scan were repeated regularly in all cases postoperatively, without severe anastomosis-related complications, such as stenosis, bleeding, or dehiscence. The follow-up of all patients was 25.5 (3.2) months, during which no anastomotic complications occurred.

Conclusion

Robotic-assisted thoracic surgery for airway resection and reconstruction should be feasible in clinical practice, but further verification of its clinical efficacy is needed for its lack of sufficient samples.

Key words: Robotic-assisted thoracic surgery, Airway reconstruction, Carinal reconstruction

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