{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:38:45Z","timestamp":1786628325817,"version":"build-2736575974"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2026,8,13]]},"abstract":"<jats:p>Tracheal resection\/reconstruction is among the most technically demanding procedures in thoracic surgery, traditionally requiring open approaches with complex airway management. The emergence of robotic-assisted surgery combined with venovenous extracorporeal membrane oxygenation (VV-ECMO) offers a minimally invasive alternative providing enhanced surgical precision, reduced postoperative morbidity and optimal apnoeic operative conditions. We report a robotic tracheal resection\/reconstruction under VV-ECMO in a 65-year-old patient with a tracheal mucoepidermoid carcinoma following endoscopic debulking with incomplete margins. Key surgical highlights include a percutaneous VV-ECMO enabling complete apnoeic conditions, lymph node dissection to initiate progressive tracheal exposure, preserving the vagus nerve and tracheal vascularization, an original fluorescence-guided transillumination technique for intraoperative resection margin identification, and end-to-end anastomosis using three continuous V-Loc sutures. The patient was discharged on postoperative Day 7 with no major complications. Resection was finally complete, and anastomotic integrity was confirmed at two-month bronchoscopy. Given the rarity of this tumour and the steep learning curve of robotic airway surgery, a step-by-step video tutorial was necessary to establish a reproducible, didactic framework for this combined approach.<\/jats:p>","DOI":"10.1510\/mmcts.2026.061","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:05:57Z","timestamp":1786626357000},"source":"Crossref","is-referenced-by-count":0,"title":["Robotic tracheal resection\/reconstruction under extracorporeal membrane oxygenation after rigid bronchoscopy"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2026,8,13]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:05:57Z","timestamp":1786626357000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/tutorial\/2219"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,13]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2026.061","relation":{},"ISSN":["1813-9175"],"issn-type":[{"value":"1813-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,13]]}}}