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Segmentectomies Made Easy series: robotic-assisted left S3 segmentectomy.

Zakariya Mouyer¹, Aishah Zubaid Mughal², Ayyoub Elfiky²

¹Department of Cardiothoracic Surgery, St George's Hospital, St George's University Hospitals NHS Foundation Trust, London, United Kingdom.

Multimedia Manual of Cardiothoracic Surgery : MMCTS

|August 28, 2025

Summary

This summary is machine-generated.

Robotic segmentectomy offers precision for complex lung resections. Pre-operative 3D imaging aids in planning and navigating anatomical variations for improved surgical outcomes.

Keywords:

3D model Minimally invasive surgery Robotic-assisted surgery

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Area of Science:

Thoracic Surgery
Surgical Oncology
Medical Imaging

Background:

Robotic-assisted thoracic surgery provides enhanced visualization and precision for complex pulmonary resections.
While beneficial, robotic sublobar resections like segmentectomies present technical challenges, especially with anatomical variations.
3D reconstruction imaging aids in pre-operative assessment and surgical planning for improved accuracy.

Purpose of the Study:

To demonstrate a robotic left S3 segmentectomy for a metastatic pulmonary lesion.
To highlight the role of pre-operative 3D imaging in managing anatomical variants during robotic segmentectomy.
To provide a structured tutorial on robotic segmentectomy, emphasizing 3D visualization's impact on accuracy and outcomes.

Main Methods:

A robotic left S3 segmentectomy was performed for a metastatic pulmonary lesion.
Pre-operative 3D imaging was utilized to identify and plan for distinct bronchovascular anatomical variants.
The surgical procedure was documented step-by-step, from port placement to segmental resection and anatomical identification.

Main Results:

Robotic-assisted surgery facilitated precise dissection and resection despite anatomical complexities.
Pre-operative 3D imaging was crucial in adapting the surgical strategy to identified anatomical variants.
The case illustrates the potential of 3D visualization to enhance intra-operative decision-making in robotic segmentectomy.

Conclusions:

Robotic segmentectomy, guided by 3D imaging, can effectively manage complex pulmonary resections with anatomical variations.
The integration of 3D virtual modeling in robotic thoracic surgery requires further investigation and wider adoption.
This tutorial emphasizes the value of 3D visualization in optimizing outcomes for robotic segmentectomies.