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Robotic Resection of Bronchogenic Cysts
Barbara Tempesta, Mark Meyer, Marc Margolis, Eric Strother, Farid Gharagozloo.
Washington Institute of Thoracic and Cardiovascular Surgery at The GW University Medical Center, Washington, DC, USA.
BACKGROUND: Bronchogenic cysts are usually adherent to adjacent structures which makes a complete resection by conventional thoracoscopy difficult. The magnified 3-D visualization, greater instrument maneuverability, and more accurate dissection of robotic surgical systems are ideally suited for the minimally invasive thoracoscopic resection of mediastinal bronchogenic cysts.
METHODS: From 1/07 - 11/11, 15 patients underwent robotic resection of a bronchogenic cyst. Patients were placed in the lateral decubitus position with the side of interest up and three nontrocar ports were used.
RESULTS: There were 9 women and 6 men. The robotic approach was from the right pleural space in 10 patients (67%) and from the left in 5 patients (33%). Mean operative time was 177 +/- 39 minutes. There was no conversion to a thoracotomy. There were no complications and no mortality. Mean hospital length of stay was 4 days.
CONCLUSION: Robotic surgery is highly suited for resection of bronchogenic cysts as it allows for a more accurate thoracoscopic dissection of the cysts away from the surrounding structures.
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