Título

ROBOTIC ASSISTED REPAIR OF LARGE IATROGENIC TRACHEAL LACERATION WITH ECMO SUPPORT

Objetivo

ECMO support and the robotic platform allow surgeons to safely maintain oxygenation during the procedure and perform a minimally invasive, complete, and safe tracheal reconstruction

Resumo do vídeo

Postintubation tracheal laceration (PITL) remains a challenging and rare, yet persistent, problem around the world. It has increased in incidence, previously about 0.005 percent to currently almost 0.48 percent, related to the epidemic of SARS-CoV-2 (1,2). Although bronchoscopic management with tube placement might be effective in some cases, for some patients with ventilatory issues and clinical instability, surgical repair emerges as the definitive treatment. This video describes the use of a robotic platform combined with veno-venous ECMO as an excellent option to avoid major surgical trauma and improve surgical results in a severe PITL.