Robotic-assisted thoracic surgery: left upper lobe sleeve lobectomy for an endobronchial tumour.

Abiah Jacob, Steven Aleksandar Stamenkovic
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Abstract

Pulmonary sleeve resection is a technically challenging procedure entailing expertise to perform via a minimally invasive approach. Robotic thoracic surgery with its three-dimensional high-definition imaging and true depth perception enables clarity of anatomical structures and, in conjunction with its articulated instruments, provides greater dexterity compared with video-assisted thoracoscopic surgery, allowing complex manoeuvres in limited spaces. We present the case of a 22-year-old woman who presented with recurrent chest infections, dyspnoea on exertion, cough, loss of appetite and weight loss. On investigation, she was diagnosed with an endobronchial neuroendocrine tumour. She underwent a robotic-assisted left upper lobe sleeve lobectomy and mediastinal lymph node dissection. The patient made a good recovery with no perioperative or postoperative complications. This case serves as an educational tool and includes instructions for excellent results.

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机器人辅助胸腔手术:左上叶袖状肺叶切除术治疗支气管内肿瘤。
肺袖状切除术是一项具有技术挑战性的手术,需要专业人员通过微创方法来完成。与视频辅助胸腔镜手术相比,机器人胸腔镜手术具有三维高清成像和真正的深度感知功能,可清晰显示解剖结构,结合其铰接式器械,可提供更高的灵巧性,允许在有限的空间内进行复杂的操作。我们介绍了一例 22 岁女性的病例,她反复出现胸部感染、用力时呼吸困难、咳嗽、食欲不振和体重减轻。经检查,她被诊断为支气管内神经内分泌肿瘤。她接受了机器人辅助下的左上叶袖状肺叶切除术和纵隔淋巴结清扫术。患者恢复良好,没有出现围手术期或术后并发症。本病例可作为一种教育工具,其中包括取得良好效果的指导。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
60
期刊介绍: The Multimedia Manual of Cardio-Thoracic Surgery (MMCTS) is produced by The European Association for Cardio-Thoracic Surgery (EACTS). MMCTS is the world’s premier video-based educational resource for cardiovascular and thoracic surgeons; freely accessible - and essential - for all. MMCTS was launched more than ten years ago under the leadership of founding editor Professor Marko Turina. It was Professor Turina’s vision that the European Association for Cardio-Thoracic Surgery (EACTS), already the world-leader in CT surgery education, should take advantage of the Internet’s rapidly improving video publication capabilities and create a new step-by-step manual of surgical procedures. Professor Turina and EACTS agreed that the manual, MMCTS, should be freely accessible to all users, regardless of association membership status, nationality, or affiliation. MMCTS was self-published by EACTS for some years before being transferred to Oxford University Press, which hosted it until the end of 2016. In November 2016, the Manual returned home to EACTS and it has now relaunched in a completely new format. Since its birth in 2005, MMCTS has published some 400 detailed, video-based demonstrations of cardio-thoracic surgical procedures. Tutorials published prior to 2012 have been archived and we are working with the authors of these tutorials to update their work pending republication on the new site. Our mission is to make MMCTS the best online reference for cardio-thoracic surgeons – residents and experienced surgeons alike. Our aim is to include tutorials presenting procedures at both a fundamental and an advanced level. Truly innovative procedures are also included and are identified as such.
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