Paraesophageal bronchogenic cysts are a rare developmental anomaly of the upper digestive tract. Bronchogenic cysts are often asymptomatic and discovered as an incidental finding. They may become symptomatic due to esophageal compression as they increase in size or from the development of infection. The diagnosis is difficult and is mostly by histopathologic findings after extirpation of the cyst.

We believe that robotic-assisted thoracoscopic excision of paraesophageal bronchogenic cyst is a safe and effective method to deal with bronchogenic cysts particularly in difficult areas and involves considerably less morbidity than thoracotomy does and may be better suited than VATS for this indication. With more experience in robotic pediatric thoracic surgery, its acceptance as a superior alternative to VATS in most cases of bronchogenic cysts will become more widespread. This video takes…