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Full endoscopic robot-assisted basal segmentectomy for bronchiectasis

Epublication WebSurg.com, Sep 2013;13(09). URL: http://websurg.com/doi/vd01en4026

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  • 2013-09-06
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Objective Surgical treatment of bronchiectasis is often proposed in complicated situations [1]. The development of minimally invasive surgery should allow us to propose a surgical curative treatment with preventative purposes. In this video, we describe a lung-sparing surgery using a full endoscopic robotic segmentectomy as described by Dylewsky [2] to deal with localized bronchiectasis. Case presentation This is the case of a 40-year-old man with bronchiectasis, colonized by Pseudomonas aeruginosa with antibiotic resistance. The patient suffered from recurrent infections. Bronchiectasis is localized in the left basal segments on CT-scan. Basal segmentectomy was decided upon using a robot-assisted procedure. This kind of patient is usually treated medically with iterative antibiotherapy until a new complication occurs. Results There was no postoperative complication and the patient was discharged on postoperative day 4. The patient resumed work after one month without any complaint. Conclusion When using a precise resection, basal segmentectomy seems to be feasible using a robot-assisted procedure, without increasing perioperative morbidity. This procedure should be proposed as a preventative surgery as it is a relatively new approach for benign or infectious lung disease. Bibliographic references 1. Agasthian T. Results of surgery for bronchiectasis and pulmonary abscesses. Thorac Surg Clin. 2012;22:333-44. 2. Dylewski MR, Ohaeto AC, Pereira JF. Pulmonary resection using a total endoscopic robotic video-assisted approach. Semin Thorac Cardiovasc Surg. 2011;23:36-42.