Minimally invasive management of pulmonary artery bleed in robotic left upper lobectomy.
Kathryn Cavallo, Jaqueline Bochkova, Aditi Kumari et al.
✦ AI-curated · Sources linked
Case in brief
A patient undergoing robotic left upper lobectomy for a Pancoast tumour developed an intraoperative pulmonary artery bleed. Rather than converting to open surgery, the team created an additional working port to place a vascular clamp and obtain proximal arterial control. Compression temporarily controlled the bleeding, enabling improved visualization and primary suture repair. The bleed was managed robotically without conversion to an open procedure.
What made this case unusual
The pulmonary artery bleed was controlled and repaired robotically using an additional port for proximal clamping, avoiding open conversion.
Diagnostic / clinical pearl
In experienced hands, temporary compression and proximal pulmonary artery control through an additional working port can facilitate visualization and primary repair of bleeding during robotic lobectomy.