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Robot-assisted Lung-Reserved Bronchial Glomus Tumor Resection: a Case Report

Shanghai chest(2022)

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Abstract
Glomus tumors are benign mesenchymal neoplasm with an estimated incidence of 1.6% in 500 consecutive soft tissue tumors which usually located in the skin or soft tissue, respiratory tract was seldom involved.The majority of bronchial glomus tumor were treated by surgery, however, treated by robotic surgery has rarely been described.A 31-year-old woman was diagnosed to have a nodule located in the right main bronchus during chest CT exam without any symptoms, further bronchoscopy revealed the lesion was located at the root of the right main bronchus.The nodule needs to be removal by surgery, and also the pulmonary function needs to be preserved as much as possible.A robot-assisted surgery was then performed, and the "longitudinal resection with transverse suture" technique was adopted to avoid bronchial stenosis, postoperative pathology confirmed a bronchial glomus tumor.The patient was discharged 15 days after the operation.The anastomose healed well without stenosis when examined by bronchoscopy 30 days after surgery.Bronchial glomus tumor could be safely treated by robot-assisted lung-reserved surgery could be used safely to treat bronchial glomus tumor under suitable conditions (e.g., location, size of tumor), longitudinal resection with transverse suture could be used as an effective method to prevent bronchial stenosis.
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