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Updated: Jun 11, 2026
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Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
A Robotic Left Lower Lobe Sleeve Lobectomy With Bronchoplasty Using the Fissureless Technique After Neoadjuvant
Hitoshi Igai1, Akinobu Ida1, Ei Yamaki1
1Department of General Thoracic Surgery, Japanese Red Cross Maebashi Hospital, Maebashi, Gunma, Japan.
Annals of Thoracic Surgery Short Reports
|June 10, 2026
Summary
This study shows robotic bronchoplasty is effective for complex lung cancer surgery. The fissureless technique facilitated a successful robotic sleeve lobectomy in a patient with advanced disease.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Robotic Surgery
Background:
- Robotic bronchoplastic procedures offer advantages over thoracoscopy in complex cases.
- Neoadjuvant immunochemotherapy is increasingly used for lung cancer treatment.
Purpose of the Study:
- To describe a complex robotic bronchoplastic procedure using the fissureless technique.
- To demonstrate the feasibility of this approach in a patient with squamous cell carcinoma and bronchial invasion.
Main Methods:
- A 60-year-old man with squamous cell carcinoma underwent robotic left lower lobe sleeve lobectomy with bronchoplasty.
- The fissureless technique was employed after neoadjuvant immunochemotherapy.
- The robotic platform facilitated precise dissection and anastomosis with continuous barbed suturing.
Main Results:
- Preoperative imaging showed tumor regression and an incomplete fissure.
- Bronchoscopy confirmed left main bronchial invasion.
- Pathologic examination revealed ypT1c N2b M0 disease, with an uneventful postoperative course.
Conclusions:
- Robotic bronchoplasty with the fissureless technique is feasible for complex lung cancer resections.
- This approach can be successfully integrated into neoadjuvant treatment protocols.
- The robotic platform allows for precise execution of challenging bronchoplastic reconstructions.
