Resection of a bronchogenic cyst in the first decade of life with robotic surgery

Abstract

The conventional surgical approach for the removal of bronchogenic cyst in children is thoracotomy. Video-assisted thoracoscopic surgery is still under debate with the concerns of incomplete removal and injury to major intrathoracic structures. In this case report, we present an 8-year old patient who was successfully treated with robotic surgery (Intuitive Surgical, Mountain View, CA, USA). Robotic technology enables precise dissection and complete resection of the thoracic bronchogenic cyst without violating the capsule and adjacent major intrathoracic structures. She was discharged on postoperative Day 2 and was active on Day 5.

Thoracic surgery by minimally invasion robot-assisted in children: “experience and current status”

“…However, many studies have reported that robotassisted surgery is safe and feasible for pediatric patients. RATS has previously been described as part of a series of general pediatric surgeries or a series of various thoracic pathologies [22,23,26,27] , a series of pediatric cases of specific procedures such as thymectomy for myasthenia gravis [28,29] , tracheopexy for treatment of severe tracheomalacia [30] , or as pediatric case reports on esophageal leiomyoma and bronchogenic cyst [31][32][33] .…”

“…According to the detailed non-systematic review of previous publications in PubMed on noncardiovascular thoracic pathology treated with robotic surgery in the pediatric population worldwide, currently, the number of children treated with this technology barely has reached 100 cases, and all related references with the theme are included [11,22,[26][27][28][29][30][31][32][33][34]36,39,44,45] .…”

Mediastinal Bronchogenic Cysts: Case Series / Mediastinal Bronkojenik Kistler: Olgu Serisi

“…Lin et al reported the successful thoracoscopic resection of two bronchogenic cysts in the upper mediastinum without postoperative complications (11). With many reports of cases treated successfully, Toker et al reported the resection of a bronchogenic cyst in an 8-yearold patient with robotic surgery (6).…”

Robotic excision of paraesophageal bronchogenic cyst in a 9-year-old child

“…Toker et al .,[ 11 ] reported their experience with robotic assisted excision of a sub-carinal bronchogenic cyst. They concluded the da Vinci Surgical System for such indications, especially for patients who are in the first decade of their life, may provide higher technical capabilities in a smaller room when compared with VATS.…”