Robotic assisted thoracoscopic right upper lobectomy for post tuberculosis aspergilloma

Ali Zamir Khan, Kamran Ali, Shaiwal Khandelwal, Narendra Agarwal, Mohd Fauzi Jamaluddin, Sangeeta Khanna, Preety Roy


Background: Minimally invasive techniques for non-oncologic lung resections especially fungal infections are not widely employed. Through this video we share our experience of one such case of a robotic resection of pulmonary aspergilloma.
Methods: A 55-year-old male with recurrent hemoptysis underwent surgical resection of post tuberculosis aspergilloma of right upper lobe using a 4-arm DaVinci Robot.
Results: He received antituberculous drugs for 6 weeks pre-operatively. Systemic antifungals were given 2 weeks prior and continued for 3 months postoperatively.
The operative time was 188 minutes and blood loss was 560 mL. Postoperative Chest X-rays showed complete lung expansion.
Conclusions: Robotic resection of lung is technically possible with good clinical outcomes even in infective pathologies. Robotic technique allows excellent 3D visualisation and good dexterity for easier and safe dissection of adhesions, as well as effective and precise anatomical lung resections for pulmonary aspergilloma