Simultaneous Robotic Totally Endoscopic Coronary Bypass And Robotic Left Lower Lobectomy For Lung Cancer
Diego Avella, MD, Wickii Vigneswaran, MD, Husam H. Balkhy, MD.
University of Chicago, Chicago, IL, USA.
OBJECTIVE: To demonstrate the feasibility of a simultaneous robotic totally endoscopic single vessel coronary artery bypass and a robotic assisted left lower lobe lobectomy for primary lung cancer.
METHODS: We report the clinical and technical aspects of a successful simultaneous robotic endoscopic single vessel coronary artery bypass and a left lower lobectomy for primary lung cancer
RESULTS: In this video, we present a seventy-year-old male with a history of past heavy smoking diagnosed with a lung nodule suspicious for cancer in the left lower lobe. As part of the preoperative evaluation for repair of a brain aneurysm, a left main coronary stenosis was identified. The patient underwent a simultaneous robotic-assisted left lower lobectomy and robotic totally endoscopic coronary artery bypass (TECAB). There were no complications, and he was discharged home on postoperative day 2. At 30 day follow-up the patient had fully recovered, had resumed normal activities and was back to work
CONCLUSIONS: Simultaneous robotic-assisted left lower lobectomy and robotic totally endoscopic coronary bypass is feasible in selected patients. A considerably shorter length of stay in comparison to traditional approaches and earlier return to normal activities was exhibited.
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