Abstract:

Objective: By combining preoperative vascular embolization with the Da Vinci robotic surgical system, study its application value in the surgical treatment of chronic pulmonary aspergillosis. Methods: A retrospective analysis was conducted on clinical data of 7 patients with chronic pulmonary aspergillosis and hemoptysis who underwent Da Vinci robot surgery at Department of Thoracic Surgery, Shenzhen Third People’s Hospital from January 1, 2022 to December 31, 2023. These clinical data included gender, age, intraoperative blood loss, operation time, postoperative chest tube indwelling time, postoperative hospital stay. The therapeutic effect and safety were analyzed. Results: Among the 7 patients, 5 were male and 2 were female, with an average age of (34.2±15.1) years. No major intraoperative bleeding or conversion to open chest surgery occurred. The average surgical duration was (363.3±196.0) minutes, with an average intraoperative blood loss of (127.1±62.4) ml; the mean postoperative chest tube placement duration was (9.4±5.8) days, and the average hospital stay was (10.7±6.2) days. Conclusion: Combining Da Vinci robotic surgery with preoperative nourishing artery embolization is a safe and effective method for treating chronic pulmonary aspergillosis, future clinical studies with larger sample sizes are still needed to validate conclusions.

Key words: Aspergillosis, Robotics, Thoracic surgical procedures, Preoperative nourishing vascular pre-embolization