It was reported via journal article title : robotic sleeve resection for pulmonary disease author : chengqiang li, bin zhou, yu han, runsen jin, jie xiang and hecheng li citation: world journal of surgical oncology (2018) 16:74; doi: https://doi.Org/10.1186/s12957-018-1374-x this study aimed to report successful implementation of a completely portal robotic sleeve resection with or without pulmonary resection using a modified suture mode.From may2015 to sep2017, 339 patients underwent curative robotic pulmonary surgery where 3 patients (all male) underwent sleeve resection.In robotic sleeve resection, a double-armed 3-0 prolene suture was used to performed end-to-end bronchial anastomosis using a simple running suture combined with two interrupted sutures of the membranous and cartilaginous junction parts.The side of the upper segment of the trachea was narrowed to better match the calibre of the distal segmental bronchus with 5-0 prolene.Narrow the rim of left upper lobe bronchus to better match the calibre of the distal segment bronchus with a 5-0 prolene.End-to-side bronchial anastomosis was performed by a 5-0 pds ii continuous running suture.Postoperatively, a (b)(6) male patient who had left lingular segment resection developed short-term atelectasis which was treated with bronchoscope sputum suction and antibiotic treatment and achieved full re-expansion of the lingular segment during follow-up.This study suggested that robotic sleeve resection for pulmonary disease with or without pulmonary resection may be safe and effective.The anastomosis time can be shortened with more robotic surgery experiences and the modified suture mode.
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