Intraoperative Repair of Bronchial Damage Following Robotic Segmentectomy

Herein, we reported the damage of the B6 bronchial segment following apical segmentectomy of the left lower lobe for management of a typical carcinoid tumor. The defect was localized distally to the B6 origin and was successfully repaired by re-stapling the proximal side of the B6 bronchus. Before firing, the intraoperative bronchoscopy confirmed the closure of the B6 bronchus alone and the normal patency of the bronchial pyramid basal. Then, the bronchial stump was covered by a collagen patch to reduce the risk of fistula. The postoperative course was uneventful, and the patient was discharged 3 days later.