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Segmentectomies Made Easy series: robotic-assisted right S1 and S2 segmentectomy
Zakariya Mouyer1, Ahmed Abdelmajeed2, Ahmed M Habib2
1Department of Cardiothoracic Surgery, St George’s Hospital, St George’s University Hospitals NHS Foundation Trust, London, UK
Multimedia Manual of Cardiothoracic Surgery : MMCTS
|September 8, 2025
Summary
Robotic-assisted thoracic surgery with 3D imaging improves complex pulmonary segmentectomies. This approach enhances surgical planning and accuracy for better patient outcomes.
Area of Science:
- Thoracic Surgery
- Surgical Robotics
- Medical Imaging
Background:
- Robotic-assisted thoracic surgery offers benefits over open thoracotomy, including reduced morbidity and faster recovery.
- Sublobar resections, like segmentectomies, remain challenging due to complex anatomy.
Purpose of the Study:
- To demonstrate a robotic right S1 and S2 segmentectomy using 3D reconstruction imaging.
- To highlight the role of 3D virtual modeling in planning and executing complex thoracic procedures.
Main Methods:
- A robotic right S1 and S2 segmentectomy was performed for a primary pulmonary lesion.
- Pre-operative 3D imaging was utilized for anatomical assessment and surgical planning.
- The procedure involved detailed steps from port placement to vascular resection.
Main Results:
- 3D visualization facilitated accurate identification of anatomical structures.
- Pre-operative 3D imaging guided the dissection strategy, enhancing accuracy.
- The robotic approach with 3D guidance improved intra-operative decision-making.
Conclusions:
- 3D guided robotic-assisted thoracic surgery is a valuable approach for complex segmentectomies.
- Integration of 3D virtual modeling can optimize outcomes in robotic thoracic surgery.
- Further evidence is needed to support the routine application of 3D virtual modeling in thoracic surgery.
