PURPOSE: Bronchogenic cysts are usually adherent to adjacent structures which makes a complete resection by conventional thoracoscopy difficult. The 3-D visualization, greater instrument maneuverability, and more accurate dissection of robotic surgical systems are ideally suited for the thoracoscopic resection of mediastinal bronchogenic cysts. We present a video demonstration of robot positiong and robot-assisted thoracoscopic resection of a large bronchogenic cyst.
METHODS: Over a 12 month period, 5 patients (3 women, 2 men) mean age 50 (+/− 5) underwent robotic-assisted thoracoscopic excision of bronchogenic cysts. All patients were asymptomatic and the cysts were found incidentally on CT scans.
RESULTS: All patients underwent a right transthoracic robotic approach with three ports. Median operative time was 3 hours. Complete excision was accomplished in all patients. In one patient, an intraparenchymal cyst in the superior segment of the right lower lobe required robotic reconstruction of a portion of the bronchus intermedius. Median hospitalization was 4 days. There were no complications and no deaths. All patients were asymptomatic at the time of this report.
CONCLUSION: The robot assistance allows for a more accurate thoracoscopic dissection of bronchogenic cysts away from the surrounding structures.
CLINICAL IMPLICATIONS: Complete excision of bronchogenic cysts with the robot is associated with low morbidity and short hospitalization.
DISCLOSURE: Eric Strother, No Financial Disclosure Information; No Product/Research Disclosure Information