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Robotic Left Superior and Posterior Basal (S6+S10) Segmentectomy
Hitoshi Igai1, Akinobu Ida1, Kazuki Numajiri1
1Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Annals of Thoracic Surgery Short Reports
|March 18, 2025
Summary
Bisegmentectomy of the superior (S6) and posterior basal (S10) lung segments is feasible for tumors near their intersection. Robotic surgery offers a viable approach for this complex procedure, preserving lung tissue effectively.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonology
Background:
- Lung tumors in the superior segment of the lower lobe (S6) adjacent to the posterior basal segment (S10) pose a surgical challenge.
- Bisegmentectomy of S6 and S10 can preserve lung parenchyma but is technically demanding due to complex anatomy.
Purpose of the Study:
- To demonstrate the oncological feasibility and technical success of a robotic bisegmentectomy for S6 and S10.
- To highlight the advantages of a robotic approach for complex lower lobe segmentectomies.
Main Methods:
- A case report detailing a robotic-assisted left S6+S10 segmentectomy.
- Focus on achieving sufficient surgical margins while preserving lung parenchyma.
Main Results:
- Successful completion of the left S6+S10 segmentectomy using a robotic platform.
- Achieved adequate surgical margins, indicating oncological safety.
- Demonstrated the technical feasibility of the robotic approach for this specific bisegmentectomy.
Conclusions:
- Robotic-assisted bisegmentectomy of S6 and S10 is an oncologically sound and feasible surgical option.
- The enhanced visualization and dexterity of robotic surgery are beneficial for complex lower lobe segmentectomies.
