Robot-Assisted Evacuation of Hemothorax

Hemothorax is second only to rib fractures as the most common complication in patients with chest trauma (1). Hemothorax following valve replacement utilizing a minithoracotomy approach on the opposite side is a rare complication of minimally invasive valve replacement. Retained clot with hemothorax can be evacuated by video-assisted thoracoscopic surgery (VATS), but 26.5% require a second procedure, 5.4% a third procedure, and 20.4% require conversion to a thoracotomy (2). Robot-assisted control of hemorrhage and evacuation of hemothorax may be superior to VATS or thoracotomy due to improved vision and precision.

References

1. LoCicero J III. Shield’s General Thoracic Surgery. Vol 2. 8th ed. Alphen aan den Rijn, Netherlands: Wolters Kluwer; 2018:1430-1431.
2. DuBose J, Inaba K, Demetriades D, et al. Management of post-traumatic retained hemothorax: a prospective, observational, multicenter AAST study. J Trauma Acute Care Surg. 2012;72(1):11-22.

Dr Jett is a speaker and proctor for Intuitive Surgical, Inc.