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Journal of Cardiothoracic Surgery

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Open Access 01-12-2017 | Case report

Robot-assisted thoracoscopic lobectomy as treatment of a giant bulla

Authors: Rosa Roemers, Kornelis Patberg, Caroline van de Wauwer, Tam Nguyen, Ghada Shahin

Published in: Journal of Cardiothoracic Surgery | Issue 1/2017

Abstract

Background

A bulla is a marked enlarged space within the parenchyma of the lung. Bullae may cause dyspnea by compressing healthy lung parenchyma and can cause a pneumothorax. Also, bullae are associated with malignancy, therefore surgical bullectomy is indicated on preventive basis. This case is unique and therefore valuable because of the remarkable presentation, innovative treatment and the spectacular improvement of lung function and socio-economic performance of the patient.

Case presentation

In this case report we describe the presentation, minimally invasive surgical treatment by means of a robot-assisted lobectomy and postoperative outcome of a young patient with a giant congenital bulla of the left upper lobe.

Conclusions

In this case robot-assisted lobectomy has shown spectacular improvement of lung function and fast-track recovery with beneficial socio-economic performance in a young patient with a giant congenital bulla.

Greenberg JA, Singhal S, Kaiser LR. Giant bullous lung disease: evaluation, selection, techniques and outcomes. Chest Surg Clin N Am. 2003;13(4):631–49.CrossRefPubMed

Odev K, et al. Cystic and cavitary lung lesions in children: radiologic findings with pathologic correlation. J Clin Imaging Sci. 2013;3:60.CrossRefPubMedPubMedCentral

Hatakeyama S, Tatibana A, Suzuki K, Kobayashi R. Five cases of lung cancer with emphysematous bullae. Nihon Kokyuki Gakkai Zasshi. 2001;39:415.PubMed

Maki D, Takahashi M, Murata K, et al. Computed tomography appearances of bronchogenic carcinoma associated with bullous lung disease. J Comput Assist Tomogr. 2006;30:447.CrossRefPubMed

Hirai S, Hamanaka Y, Mitsui N, et al. Primary lung cancer arising from the wall of a giant bulla. Ann Thorac Cardiovasc Surg. 2005;11:109.PubMed

Arab WA, Echavé V, Sirois M, Gomes MM. Incidental carcinoma in bullous emphysema. Can J Surg. 2009;52:E56.PubMedPubMedCentral

Richardson MS, Reddy VD, Read CA. New air-fluid levels in bullous lung disease: a reevaluation. J Natl Med Assoc. 1996;88:185.PubMedPubMedCentral

Huang W, Han R, Li L, He Y. Surgery for giant emphysematous bullae: case report and short literature review. J Thoracic Dis. 2014;6(6):E104–7.

Santini M, Fiorello A, Di Crescenzo VG, et al. Use of unidirectional endobronchial valves for the treatment of giant emphysematous bulla. J Thorac Cardiovasc Surg. 2010;139:224.CrossRefPubMed

10.

Cerfolio RJ, Bryant AS, Skylizard L, Minnich DJ. Results of, and technical advancements to, completely portal robotic pulmonary resection using 4 arms (CPRL-4). J Thorac Cardiovasc Surg. 2011;142(4):740–6.CrossRefPubMed

11.

Shaming FM. Classification of cystic and bullous lung disease. Chest Surg Clin N Am. 1995;5:701–16.

12.

Choi Y-D, Kim S-S, Lee J-S, Nam J-H, Choi C, Na K-J, Lee J-H. Abundant cartilage formation of congenital pulmonary airway malformation-a case report. Pathol Res Pract. 2009;205(7):494–7.CrossRefPubMed

13.

Shanti CM, Klein MD. Cystic lung disease. Semin Pediatr Surg. 2008;17:2–8.CrossRefPubMed

14.

Menconi GF, Melfi FMA, Mussi A, Palla A, Ambrogi MC, Angeletti CA. Treatment by VATS of giant bullous emphysema: results. Eur J Cardio-Thorac Surg. 1998;13(1):66–70.CrossRef

Title: Robot-assisted thoracoscopic lobectomy as treatment of a giant bulla
Authors: Rosa Roemers
Kornelis Patberg
Caroline van de Wauwer
Tam Nguyen
Ghada Shahin
Publication date: 01-12-2017
Publisher: BioMed Central
Published in: Journal of Cardiothoracic Surgery / Issue 1/2017
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-017-0595-3

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Robot-assisted thoracoscopic lobectomy as treatment of a giant bulla

Abstract

Background

Case presentation

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Case presentation

Conclusions

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