Robot-assisted segmental resection for intralobar pulmonary sequestration

J Konecna; W Karenovics; G Veronesi; F Triponez

doi:10.1016/j.ijscr.2016.03.008

Robot-assisted segmental resection for intralobar pulmonary sequestration

Int J Surg Case Rep. 2016:22:83-5. doi: 10.1016/j.ijscr.2016.03.008. Epub 2016 Mar 22.

Authors

J Konecna¹, W Karenovics¹, G Veronesi², F Triponez³

Affiliations

¹ Department of Thoracic and Endocrine Surgery, University Hospitals of Geneva, Geneva, Switzerland.
² Robotic Thoracic Surgery, Humanitas Research Hospital, Rozzano, Italy.
³ Department of Thoracic and Endocrine Surgery, University Hospitals of Geneva, Geneva, Switzerland. Electronic address: frederic.triponez@hcuge.ch.

Abstract

Introduction: Pulmonary sequestration is a rare congenital malformation found most frequently as intralobar sequestration in the left lower lobe. Complete surgical resection is considered the treatment of choice.

Presentation: We present the case of a 29- year-old woman with intralobar pulmonary sequestration (ILS) diagnosed on chest CT. The sequestration was located in the left lower basal segments (segments 9 and 10) and was treated successfully by robot-assisted segmental resection without complication.

Discussion: Recently, robot- assisted thoracoscopic lobar resections started to be performed for ILS. The sublobar, segmental resection are reserved mainly for the resection of pulmonary nodules. We report a first case of robot-assisted anatomical segmental resection for ILS.

Conclusion: We highlight the role of robotic technology offering three-dimensional view and excellent dexterity enhancing the surgical performance and getting the surgical procedure more precise and safer. This could be useful especially in case of challenging sublobar resections.

Keywords: Pulmonary sequestration; Robot-assisted thoracoscopic surgery; Segmental pulmonary resection.