Robotic Thoracic Surgery Column


Robotic-assisted left upper lingual segmentectomy

Shiguang Xu, Hao Meng, Tong Wang, Wei Xu, Xingchi Liu, Shumin Wang

Abstract

The patient, a 50-year-old woman, was admitted due to “repeated hemoptysis for more than half a year” and “bronchiectasis”. The patient began to cough up blood without obvious causes about 6 months ago. The blood was bright red in color, and the patient spitted about 6 times during each attack. No special treatment was given. She spitted up 9 times of fresh blood again 1 month ago and then visited a local hospital. Chest CT showed that the lingular bronchus of left upper lobe showed cystic and cylindrical dilatation, along with thickened walls. Small dotted and patchy intensities were visible around it. Left bronchial dilation accompanied with peribronchitis was considered. The condition was not remarkably improved after anti-inflammatory and hemostatic treatment. She then visited our hospital for further management. After outpatient consultation, she was admitted due to “bronchiectasis”. The patient’s complaints did not include cough, chest tightness, shortness of breath, low fever, night sweats, nausea, vomiting, abdominal distension, diarrhea, heart palpitations, or discomfort of precordial area. His mental status, physical performance, appetite, and sleep were normal, and the body weight did not obviously change. Urination and defecation were normal.

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