Robotic intrapericardial bilobectomy with stapler on the atrium and pericardial reconstruction.
Multimed Man Cardiothorac Surg
; 20242024 Aug 05.
Article
em En
| MEDLINE
| ID: mdl-39101397
ABSTRACT
Few intrapericardial robotic lung resection cases have been reported in the literature because of the perceived complexity of the procedure, with most surgeons embarking on an open resection via a thoracotomy. We present the case of a right middle and lower lobe tumour involving the pericardium and the origin of the right middle lobe vein. An intrapericardial lower bilobectomy was performed, with pericardial resection, pre-pericardial fat resection and mesh reconstruction. The vascular stapler for the right middle lobe vein was fired on the atrium. The resection was completed via a retrograde and fissureless approach, dividing the bronchus intermedius first, because it was impossible to open the fissure, leaving the division of the pulmonary artery until last. The case was performed solely robotically, with no complications and excellent postoperative recovery. Robotic resection can be performed successfully when pericardial lung tumours are involved.
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Base de dados:
MEDLINE
Assunto principal:
Pericárdio
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Pneumonectomia
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Procedimentos Cirúrgicos Robóticos
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Átrios do Coração
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Neoplasias Pulmonares
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article