Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries

Bronchial disruption is a catastrophic consequence of blunt thoracic trauma with high pre-hospital lethality. This injury is classically managed through a large thoracotomy incision to facilitate adequate exposure for open repair. Here, we describe a case of complete bronchus intermedius disruption...

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Main Authors: W. Aaron Marshall, Julie N. Robles, Laura M. Adams, Bruce M. Potenza, Leslie M. Kobayashi
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644022001078
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author W. Aaron Marshall
Julie N. Robles
Laura M. Adams
Bruce M. Potenza
Leslie M. Kobayashi
author_facet W. Aaron Marshall
Julie N. Robles
Laura M. Adams
Bruce M. Potenza
Leslie M. Kobayashi
author_sort W. Aaron Marshall
collection DOAJ
description Bronchial disruption is a catastrophic consequence of blunt thoracic trauma with high pre-hospital lethality. This injury is classically managed through a large thoracotomy incision to facilitate adequate exposure for open repair. Here, we describe a case of complete bronchus intermedius disruption following a motor vehicle accident that was repaired via robotic thoracoscopy. The patient sustained multi-system trauma, including a grade III liver laceration, an innominate artery pseudoaneurysm, and femoral condyle fracture, all of which required systematic intervention and multi-disciplinary coordination to best facilitate this patient's care. This patient recovered well from his multiple injuries and was discharged after an uneventful post-operative course.
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spelling doaj.art-2f148f36244d4c5187df5f8dd0e206ba2022-12-22T03:51:39ZengElsevierTrauma Case Reports2352-64402022-12-0142100711Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuriesW. Aaron Marshall0Julie N. Robles1Laura M. Adams2Bruce M. Potenza3Leslie M. Kobayashi4University of California San Diego Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, 200 West Arbor Dr., #8896, San Diego, CA 92103-8896, USA; Corresponding author at: University of California San Diego, Department of Surgery, Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, 200 West Arbor Dr., #8896, San Diego, CA 92103-8896, USA.University of California San Diego, Department of Anesthesiology, 200 West Arbor Dr., #7770, San Diego, CA 92103-7770, USAUniversity of California San Diego Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, 200 West Arbor Dr., #8896, San Diego, CA 92103-8896, USAUniversity of California San Diego Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, 200 West Arbor Dr., #8896, San Diego, CA 92103-8896, USAUniversity of California San Diego Department of Surgery, Division of Trauma, Surgical Critical Care, Burns and Acute Care Surgery, 200 West Arbor Dr., #8896, San Diego, CA 92103-8896, USABronchial disruption is a catastrophic consequence of blunt thoracic trauma with high pre-hospital lethality. This injury is classically managed through a large thoracotomy incision to facilitate adequate exposure for open repair. Here, we describe a case of complete bronchus intermedius disruption following a motor vehicle accident that was repaired via robotic thoracoscopy. The patient sustained multi-system trauma, including a grade III liver laceration, an innominate artery pseudoaneurysm, and femoral condyle fracture, all of which required systematic intervention and multi-disciplinary coordination to best facilitate this patient's care. This patient recovered well from his multiple injuries and was discharged after an uneventful post-operative course.http://www.sciencedirect.com/science/article/pii/S2352644022001078Bronchial injuryRobotic thoracoscopyLiver lacerationInnominate artery pseudoaneurysm
spellingShingle W. Aaron Marshall
Julie N. Robles
Laura M. Adams
Bruce M. Potenza
Leslie M. Kobayashi
Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
Trauma Case Reports
Bronchial injury
Robotic thoracoscopy
Liver laceration
Innominate artery pseudoaneurysm
title Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
title_full Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
title_fullStr Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
title_full_unstemmed Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
title_short Robotic repair of traumatic bronchial disruption: A minimally invasive and multi-disciplinary approach to a complex constellation of injuries
title_sort robotic repair of traumatic bronchial disruption a minimally invasive and multi disciplinary approach to a complex constellation of injuries
topic Bronchial injury
Robotic thoracoscopy
Liver laceration
Innominate artery pseudoaneurysm
url http://www.sciencedirect.com/science/article/pii/S2352644022001078
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