Traumatic left main bronchial rupture: delayed but successful outcome of robotic ‐assisted reconstruction

Tracheobronchial injuries are rare but life‐threatening conditions in patients with blunt thoracic trauma. The diagnosis and management of such injury may often be delayed due to other concomitant severe injuries. No reported case of a robotic‐assisted bronchial reconstruction has ever been performed for a traumatic bronchial injury. A 23‐year‐old male suffered from traumatic left main bronchial (LMB) rupture with an initial presentation of pneumothorax and pneumomediastinum that eventually progressed to left main bronchus fibrosis and total obstruction, which led to left lung atelectasis and consolidation. Minimally invasive robotic‐assisted sleeve surgery, 33 days after the initial trauma, successfully reconstructed the left main bronchus with satisfactory morphological and functional results. Recognition of a bronchial injury and precise localization of the lesion is mandated to ensure a prompt and adequate salvage surgical procedure in order to help patients recover from this critical condition. A 23‐year‐old man suffered traumatic rupture of the left main bronchus that eventually progressed to left main bronchus fibrosis and total obstruction, resulting in left lung atelectasis and consolidation. To date, there are no studies reporting the utilization of robotic surgical systems for bronchial injury repairs. This is the first case of traumatic bronchial rupture to employ robotic‐assisted surgery for bronchial reconstruction with satisfactory morphologi...
Source: Respirology Case Reports - Category: Respiratory Medicine Authors: Tags: Case Report Source Type: research