Video atlas of pulmonary segmentectomy: robotic-assisted right S2 segmentectomy with 3D imaging

Robotic-assisted thoracic surgery has become increasingly utilized for the management of lung cancer, particularly in technically demanding anatomical resections. The robotic platform provides enhanced depth perception, refined instrument articulation and improved precision. This facilitates complex pulmonary resections such as segmentectomies. This minimally invasive approach is increasingly favoured over open thoracotomy due to its association with reduced postoperative complications and accelerated recovery. Anatomical segmentectomy remains technically challenging due to variations in bronchovascular anatomy. The incorporation of three-dimensional reconstruction imaging enables detailed pre-operative assessment of tumour location and its relationship to surrounding structures, allowing for more precise and individualized surgical planning. Despite these advantages, the routine use of three-dimensional imaging in thoracic surgery is not yet widely established across thoracic surgery centres, and has limited exposure in the literature. This video atlas series presents a robotic-assisted anatomical segmentectomy guided by three-dimensional reconstruction. This tutorial provides a structured, step-by-step approach to performing a right S2 posterior segmentectomy for a patient with a right upper lobe tumour.