Traumatic left main bronchial rupture: Delayed but successful outcome of robotic-assisted reconstruction
Journal
Respirology Case Reports
Journal Volume
6
Journal Issue
1
Pages
e00278
Date Issued
2018
Author(s)
Abstract
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. ? 2017 The Authors.
SDGs
Other Subjects
abrasion; adult; Article; atelectasis; bronchoplasty; bronchoscopy; bronchus injury; bronchus obstruction; bronchus rupture; case report; clavicle fracture; clinical article; end to end anastomosis; fibrosis; granulomatous inflammation; human; laceration; lung contusion; male; minimally invasive surgery; odontoid process fracture; patella fracture; pneumomediastinum; pneumothorax; rib fracture; robot assisted surgery; scapula fracture; subcutaneous emphysema; surgical technique; thorax radiography; traffic accident; whole body CT; young adult
Publisher
Wiley-Blackwell Publishing Ltd
Type
journal article