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Background <p>Bronchial carcinoid tumors are rare in children and often present central airway involvement, posing challenges for lung-sparing surgery. Robotic systems enable enhanced precision and dexterity, but their application in pediatric airway reconstruction remains limited.</p> Case presentation <p>A 13-year-old boy presented with a left secondary carinal bronchial carcinoid. After bronchoscopic tumor debulking, definitive surgery was performed using a uniportal robot-assisted approach with the da Vinci Xi system (Intuitive Surgical Inc., Sunnyvale, CA, USA). A single 4-cm incision was made at the fifth intercostal space along the midaxillary line. The secondary carina was resected, and airway continuity was reconstructed using three separate continuous 3-0 barbed sutures. The postoperative course was uneventful, and bronchoscopy at three months confirmed a patent, well-healed anastomosis.</p> Conclusions <p>This case demonstrates the feasibility and safety of uniportal robot-assisted secondary carina reconstruction in a pediatric patient, providing a minimally invasive option for complex airway surgery.</p>

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Uniportal robot-assisted resection and reconstruction of the left bronchial secondary carina in a pediatric patient

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年6月15日

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  • Diego Gonzalez-Rivas,
  • Chang Li,
  • Ziyi He,
  • Guangbin Li,
  • Xiaochen Lu,
  • Haitao Huang,
  • Jun Zhao

摘要

Background

Bronchial carcinoid tumors are rare in children and often present central airway involvement, posing challenges for lung-sparing surgery. Robotic systems enable enhanced precision and dexterity, but their application in pediatric airway reconstruction remains limited.

Case presentation

A 13-year-old boy presented with a left secondary carinal bronchial carcinoid. After bronchoscopic tumor debulking, definitive surgery was performed using a uniportal robot-assisted approach with the da Vinci Xi system (Intuitive Surgical Inc., Sunnyvale, CA, USA). A single 4-cm incision was made at the fifth intercostal space along the midaxillary line. The secondary carina was resected, and airway continuity was reconstructed using three separate continuous 3-0 barbed sutures. The postoperative course was uneventful, and bronchoscopy at three months confirmed a patent, well-healed anastomosis.

Conclusions

This case demonstrates the feasibility and safety of uniportal robot-assisted secondary carina reconstruction in a pediatric patient, providing a minimally invasive option for complex airway surgery.