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Related Experiment Video

Updated: Oct 2, 2025

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

Tunnel technique for robotic-assisted left upper lobectomy.

Nestor Quiroga¹, Marc Boada, Rudith Guzman¹

¹Clinical Respiratory Institute - Thoracic Surgery - Hospital Clinic i Provincial Barcelona.

Multimedia Manual of Cardiothoracic Surgery : MMCTS

|February 28, 2022

Summary

Robotic-assisted thoracoscopy with the fissure tunneling technique offers improved lung cancer surgery, especially for complex cases. This method enhances safety and reduces air leakage risks during procedures like lobectomy.

Keywords:

Lobectomy Lung cancer Robotic-assisted surgery Thoracoscopy Tunnel technique

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Last Updated: Oct 2, 2025

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Area of Science:

Thoracic Surgery
Surgical Oncology
Minimally Invasive Procedures

Background:

Robotic-assisted thoracoscopy presents advancements over traditional methods but retains limitations.
The fissure tunneling technique facilitates dissection in cases with fused or incomplete lung fissures.

Observation:

A 65-year-old female smoker presented with a 33-mm lung mass, diagnosed as small-cell lung cancer via positron emission tomography-computed tomography and biopsy.
The cancer was confirmed as stage N0 and M0, indicating suitability for surgical intervention.

Findings:

A left upper lobectomy and robotic-assisted thoracoscopic lymphadenectomy were performed.
The fissure tunneling technique was employed due to incomplete fissures, ensuring safe dissection and identification of vital structures.

Implications:

This combined approach facilitated a successful surgical outcome for small-cell lung cancer.
The fissure tunneling technique, when used with robotic assistance, minimizes the risk of air leakage and improves procedural safety.