Robotic Left Superior and Posterior Basal (S6+S10) Segmentectomy

Hitoshi Igai MD, PhD , Akinobu Ida MD , Kazuki Numajiri MD , Kazuhito Nii MD, PhD , Mitsuhiro Kamiyoshihara MD, PhD
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Abstract

When tumor is located in the superior segment of the lower lobe (S6) close to the intersegmental plane with the posterior basal segment (S10), bisegmentectomy of S6 and S10 is oncologically feasible and reasonable to preserve lung parenchyma. However, this bisegmentectomy is technically challenging because of the complex anatomy of S10. Herein, we report a successful case of left S6+S10 segmentectomy by a robotic approach with sufficient surgical margin. A robotic approach is suitable for such a complex segmentectomy of the lower lobe because of the good looking-up high-definition 3-dimensional view.
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机器人左上、后基底节段(S6+S10)切除术
当肿瘤位于下肺叶上段(S6)与后基底段(S10)接近节段间平面时,对S6和S10进行双节段切除术是肿瘤可行且合理的,可保留肺实质。然而,由于S10复杂的解剖结构,这种双节段切除术在技术上具有挑战性。在此,我们报告了一例成功的左侧S6+S10节段切除术,采用机器人入路,手术切缘充足。机器人方法适合于这种复杂的下肺叶节段切除术,因为它具有良好的查找高清三维视图。
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