Video atlas of pulmonary segmentectomy: robotic-assisted right S3 segmentectomy with 3-dimensional imaging.

Abstract

Robotic-assisted thoracic surgery has become increasingly utilized in recent years. Complex lung cancer resection surgery can be performed using a robotic approach. It facilitates 3-dimentional visualization of structures, enhanced manipulation of tissues and precise movements. Combined with other minimally invasive surgical techniques, robotic-assisted thoracic surgery in comparison to open thoracotomy has become increasingly favoured among surgeons for the treatment of lung cancer. Pre-existing data have shown that such minimally invasive approaches are associated with reduced postoperative morbidity, length of hospital stay and quicker post-surgical recovery. Robotic-assisted pulmonary segmental resection can be technically challenging; however, 3-dimensional reconstruction imaging enables detailed preoperative visualization of the tumour and surrounding bronchovascular anatomy. This preoperative tool can therefore facilitate enhanced and accurate anatomical lung resections. Nevertheless, the application of virtual 3-dimensional lung reconstruction within thoracic surgical practice is rarely documented in the pre-existing literature. We present a video atlas series of robotic-assisted segmentectomies guided by 3-dimensional reconstruction imaging. This video tutorial includes a step-by-step guide for performing a right S3 segmentectomy for a patient presenting with a right upper lobe tumour.