A Case of Bronchogenic Cyst with Tracheal Complication: Surgical Resection and Repair via Uniportal VATS

Introduction: Bronchogenic cysts are congenital cystic lesions that arise due to abnormalities during the embryonic development of the tracheobronchial tree. When located in close proximity to the trachea, they may lead to significant respiratory symptoms. Case Presentation: A 21-year-old female patient presented with persistent cough and intermittent dyspnea. Thoracic imaging revealed a cystic lesion measuring 3.8 × 5.8 × 4.4 cm located in the right paratracheal region. During uniportal video-assisted thoracoscopic surgery (u-VATS), a tracheal rupture occurred while dissecting the lesion. The tracheal injury was successfully repaired with primary suturing without conversion to open surgery, and the cyst was completely excised. Histopathological examination confirmed the diagnosis of a bronchogenic cyst. The patient was discharged uneventfully on the third postoperative day. Conclusions: The u-VATS is a safe and effective approach for the surgical management of bronchogenic cysts, offering advantages not only in diagnosis and treatment but also in the management of intraoperative complications. This case highlights the feasibility and novelty of managing intraoperative tracheal injury using the u-VATS approach, which offers a less invasive yet effective alternative in thoracic surgical emergencies.