Robotic portal right upper sleeve lobectomy with pulmonary arterioplasty

The importance of complex robotic lung resection should increase because of growing experience with robotic surgery worldwide. However, there have been no reports on robotic portal pulmonary arterioplasty because clamping the main pulmonary artery without thoracotomy is challenging. A 67-year-old female patient who was clinically diagnosed with lung adenocarcinoma cT1bN2M0 stage IIIA underwent induction chemo-immunotherapy, which resulted in a conventional and metabolically partial response. Subsequently, robotic portal right upper sleeve lobectomy with pulmonary arterioplasty was performed using a combination of bulldog clamp forceps and a cotton tape to clamp the main pulmonary artery.