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A Robotic Right Posterior Basal and Subsuperior (S10+S∗) Segmentectomy.

Hitoshi Igai1, Akinobu Ida1, Kazuki Numajiri1

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Annals of Thoracic Surgery Short Reports
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Summary

Thoracic surgeons can successfully perform subsuperior segmentectomy, a technically challenging procedure, using a robotic approach. Preoperative 3D CT bronchography is crucial for anatomical understanding and safe surgical margins.

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Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Minimally Invasive Surgery

Background:

  • The subsuperior segment (S*) of the lung is small and often overlooked by thoracic surgeons.
  • Subsuperior segmentectomy is infrequently reported due to its technical difficulty.

Purpose of the Study:

  • To report a successful case of right posterior basal and subsuperior segmentectomy.
  • To highlight the utility of a robotic approach for this challenging procedure.

Main Methods:

  • A robotic approach was utilized for the right posterior basal and subsuperior segmentectomy.
  • Preoperative 3-dimensional computed tomographic (3D CT) bronchography was performed for detailed anatomical assessment.

Main Results:

  • The surgery was successfully completed with a sufficient surgical margin.
  • The robotic approach facilitated the technically difficult segmentectomy.
  • 3D CT bronchography aided in preventing anatomical misinterpretation during the procedure.

Conclusions:

  • Robotic-assisted subsuperior segmentectomy is feasible and effective.
  • Careful preoperative anatomical evaluation using 3D CT bronchography is essential for successful subsuperior segmentectomy.