Robotic Assisted Right Upper Lobe Anterior Segmentectomy
Andrew R. Brownlee, MD, Justin J. Watson, MD, Shruthi Nammalwar, Amirhossein P. Mahfoozi, MD, Harmik J. Soukiasian.
Cedars-Sinai Medical Center, Los angeles, CA, USA.
BACKGROUNDPulmonary segmentectomy is an oncologically appropriate treatment for selected patients with non-small cell lung cancer. Right upper lobe anterior segmentectomy is technically challenging.
METHODSIn this video, we demonstrate the key surgical techniques to robotic right upper lobe anterior segmentectomy in a 73-year-old patient with a 1.2cm right upper lobe lung nodule. Preoperatively, imaging suggested that an anterior segmentectomy would be technically feasible with an adequate margin.
RESULTSThe patient underwent an uncomplicated robotic right upper lobe S3 segmentectomy. Her chest tube was removed on postoperative day 3 and she was discharged.CONCLUSIONS
Robotic right upper lobe anterior segmentectomy can be done safely, while observing oncologic principles.
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