International Society for Minimally Invasive Cardiothoracic Surgery

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Robotic-assisted Left Completion Pneumonectomy
Hana Ajouz, Daniel Buitrago, Mauricio Pipkin, Tiago Machuca
University of Miami, Miami, FL, USA

•BACKGROUND - We wanted to describe a case of Robotic-assisted Salvage completion pneumonectomy, because of the limited description of this type of operation in the literature especially in the setting of chemo-immunotherapy. •
METHODS - 64 years-old female with history of Stage IIIA adenocarcinoma of the left lower lobe s/p robotic assisted Lefft lower lobectomy and mediastinal node dissection in April 2016 followed by adjuvant chemotherapy. She was found to have brain metastasis s/p SBRT and mediastinal adenopathy (biopsy proven recurrence) in June 2019. She was started carboplatin, pemetrexed and pembrolizumab in July 2019. Patient had a recurrence in Left upper lobe that was treated with SBRT of 50 Gy in 5 fractions in August 2020. In November 2023, she was found to have interval increase anatomic size and FDG activity of the Left upper lobe mass. Patient was discussed in the tumor board and plan was to consider a salvage completion left pneumonectomy
RESULTS: Patient underwent Robotic-assisted Salvage completion left pneumonectomy with intercostal muscle flap to cover the pneumonectomy stump.
CONCLUSIONS Minimally invasive salvage lung resections done safely with low morbidity and mortality may play a role in management of recalcitrant lung cancer.


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