A robotic fissureless left lower lobectomy

The fissureless technique is considered one of several useful techniques for patients with a fused fissure to avoid postoperative prolonged air leak. When performing the fissureless technique for a lower lobectomy, we consider two important points necessary to perform this technique safely and appropriately. The first is not to injure the pulmonary artery behind the lower bronchus when encircling or dividing it. The second is to accurately identify the pulmonary artery branches to be divided. To achieve these goals, we chose a robotic approach, which yielded successful perioperative results.