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Robotic Total Lung Sparing Carinal Resection
Kelsey Muir, MD, Cynthia Xu, MD, Meghamsh Kanuparthy, MD, Haley Leesley, MD, Hana Ajouz, MD, Abbas Abbas, MD.
Warren Alpert Medical School, Providence, RI, USA.
BACKGROUND: Carinal resection and reconstruction is one of the most complex thoracic surgeries. Robotic-assisted carinal resection has only recently been published as a safe option for patients. We aim to demonstrate the complex thoracic anatomy and safe robotic technique for robotic-assisted carinal resection.
METHODS: A 61-year-old healthy female who presented with a 2-year history of painful exhalation, chest pressure, and fatigue was found to have a 2.7 cm adenoid cystic carcinoma at the carina. The patient underwent robotic-assisted total lung sparing carinal resection with pulmonary support provided by veno-venous (VV) ECMO.
RESULTS: The robotic case is demonstrated in the subsequent step-by-step video.
CONCLUSIONS: Robotic-assisted total lung sparing carinal resection with the support of VV ECMO allows for an extended resection of intraluminal tracheal masses while preserving lung parenchyma, thereby reducing the possibility of positive margins and improving patient outcomes.
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