Performing a bronchial sleeve resection followed by bronchoplasty is considered technically challenging. This procedure is still frequently performed via a thoracotomy, although thoracoscopic approaches are also used. Compared to the thoracoscopic approach, the robotic approach offers distinct advantages for performing technically demanding procedures. Additionally, a bronchial anastomosis is considered easier to perform with the robotic approach due to its unique characteristics, such as the use of articulated forceps. In this video tutorial, we demonstrate a robotic sleeve resection of the intermediate bronchial trunk followed by bronchoplasty for a bronchial hamartoma and discuss the nuances of this procedure. The console time was 150 minutes, with minimal blood loss. The patient's postoperative course was uneventful. The chest tube was removed on postoperative day 1, and the patient was discharged on postoperative day 3. The final pathology report confirmed the diagnosis of bronchial hamartoma.
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http://dx.doi.org/10.1510/mmcts.2025.010 | DOI Listing |
Surg Case Rep
February 2025
Department of Thoracic Surgery, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, Tokyo, Japan.
Introduction: Recently, neoadjuvant immunotherapy plus chemotherapy has been provided for patients with stage II-III resectable lung cancer. We report a case in which a pneumonectomy was avoided by administrating neoadjuvant chemoimmunotherapy.
Case Presentation: An 81-year-old man presented with a cough.
Multimed Man Cardiothorac Surg
March 2025
Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Japan.
Performing a bronchial sleeve resection followed by bronchoplasty is considered technically challenging. This procedure is still frequently performed via a thoracotomy, although thoracoscopic approaches are also used. Compared to the thoracoscopic approach, the robotic approach offers distinct advantages for performing technically demanding procedures.
View Article and Find Full Text PDFPhotodiagnosis Photodyn Ther
February 2025
Interventional Pulmonology, Department of Pulmonary and Critical Care, Corewell Health West, Michigan State University College of Human Medicine, Grand Rapids, MI, USA. Electronic address:
Background: NCCN guidelines recommend surgical resection for well differentiated pulmonary neuroendocrine tumors (NETs), also known as carcinoid tumors, when they present in the lungs. Fortunately, most pulmonary NETs will not require extensive surgical resection beyond a lobectomy. We report two cases in which large pulmonary NETs would have required more extensive surgical resection, including a carinal pneumonectomy and a left lower lobe sleeve resection.
View Article and Find Full Text PDFSci Rep
February 2025
Department of Urology, Faculty of Medicine, Adıyaman University, 02040, Adiyaman, Turkey.
This study compared various circumcision techniques, specifically the dorsal slit (DS), sleeve resection (SR), and forceps-guided (FG) techniques, which fall under the category of conventional circumcision techniques, with the thermocautery-assisted circumcision (TAC) technique. The aim was to investigate the safety and efficacy of these circumcision methods by focusing on clinical outcomes and early complications, categorizing the associated complications using the Clavien-Dindo classification system (CDCS). A total of 7041 circumcised patients were retrospectively analyzed and grouped according to the applied techniques: DS, SR, FG, and TAC.
View Article and Find Full Text PDFSci Rep
February 2025
Department of general surgery, Xinqiao Hospital, The Army Medical University, No. 183, Xinqiao Street, Shapingba District, Chongqing, 400037, China.
The objective of this paper is to observe and evaluate the safety and feasibility of using a degradable colorectal endoluminal stent with extension sleeve(DCESES) in patients at high risk of anastomotic leakage following low anterior resection (LAR) for rectal cancer using the transanal total mesorectal excision (Ta_tme) technique. Six patients with low rectal cancer undergoing Ta_tme surgery and identified as high risk for anastomotic leakage were selected. During surgery, the tumor was mobilized transanally and excised outside the anus.
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