Robotic Type C Extended Sleeve Lobectomy for Locally Advanced Lung Cancer

Extended sleeve lobectomy is one of the most challenging procedures for patients with centrally located lung cancer to avoid pneumonectomy. Robotic bronchoplasty offers a less invasive surgical option. However, few reports have focused on surgical techniques of robotic bronchoplasty. Here we describe the surgical techniques for robotic extended bronchoplasty. Bronchial anastomosis was performed using a 3-0 double-ended needle prepared extrathoracically, without any tissue covering the anastomosis. The postoperative course was uneventful. Robotic extended sleeve lobectomy proves to be a substantial and minimally invasive procedure in terms of feasible surgical risks, curative potential, cosmetic outcomes, and preservation of lung function.