Robotic-assisted bronchial reimplantation for post-tuberculosis bronchial stenosis: surgical technique.

Q4 Medicine

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Pub Date : 2025-09-22 DOI:10.1510/mmcts.2025.035

Mariana Canevari de Oliveira, Luciahelena Morello Prata Trevisan, Marcelo Manzano Said, Isabele Alves Chirichela, Luis Gustavo Abdalla, Gustavo Calado Ribeiro, Alessandro Wasum Mariani

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Abstract

This report presents a novel robotic-assisted surgical technique for bronchial reimplantation in patients with complete bronchial stenosis after tuberculosis treatment. A 34-year-old female patient with progressive dyspnoea was diagnosed with complete bronchial stenosis and total left lung atelectasis. After unsuccessful bronchial dilation attempts, robotic-assisted bronchial reimplantation with veno-venous extracorporeal membrane oxygenation support was undertaken. Intra-operative bronchoscopy ensured airway patency throughout the procedure. At 1-year follow-up, the patient remained asymptomatic in daily activities, with no late complications or restenosis, reinforcing the long-term efficacy of the procedure. This technique demonstrates the potential for enhanced surgical outcomes in managing complex bronchial stenosis. The findings highlight the viability of this advanced technique in improving respiratory function and patient recovery.

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机器人辅助支气管再植治疗结核后支气管狭窄：外科技术。

本报告提出一种新型机器人辅助支气管再植手术技术，用于肺结核治疗后完全性支气管狭窄的患者。一位34岁女性患者，因进行性呼吸困难被诊断为完全性支气管狭窄和左肺全不张。在支气管扩张尝试失败后，采用静脉-静脉体外膜氧合支持进行机器人辅助支气管再植。术中支气管镜检查确保整个手术过程中气道通畅。随访1年，患者日常活动无症状，无后期并发症或再狭窄，增强了手术的长期疗效。这项技术显示了在治疗复杂支气管狭窄时提高手术效果的潜力。研究结果强调了这种先进技术在改善呼吸功能和患者康复方面的可行性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Multimedia manual of cardiothoracic surgery : MMCTS / European Association for Cardio-Thoracic Surgery Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

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.