Broncho-Pulmonary Sequestration treated by resection using the Da Vinci robot

Intra bronchopulmonary sequestration lobe chronically infected with sepsis and pain. Detected on CT scan with contrast enhancement of a large 10 mm branch direct from the descending aorta feeding the sequestration component of the lower lobe. Surgically resected by vascular isolation and wedge resection of the chronically infected and inflamed lower lobe sequestration component. The Da Vinci robot is ideally suited to mobilising the feeding artery and then ligating it with either ties, haemaloc clip or vascular stapler. The macroscopically abnormal lung is then separated from the normal by stapling across the junctional zone. The specimen is then removed in an endobag and the intercostal nerves blocked with direct local anaesthetic and a paravertebral catheter.

 

 

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Written by Michael Wilson
Professor Michael Wilson is a leading cardiothoracic surgeon with clinical appointments at Macquarie University Hospital, Mater Hospital, Chris O’Brien Lifehouse, Northern Beaches Hospital and John Flynn Hospital Gold Coast. Professor Wilson has a special interest in the utilisation of emerging technologies and minimally invasive techniques to deal with complex heart and lung surgical problems. He holds an academic appointment at Macquarie University and has extensive experience in clinical and basic science research.
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