Robotic Right Upper Lobe Posterior Segmentectomy Using da Vinci XI Robot

Alexander Leung, MD; Kelsey A. Musgrove, MD; Jeremiah W. Hayanga, MD, MPH; Ghulam Abbas, MD

Product Details
Product ID: ACS-5494
Year Produced: 2018
Length: 8 min.


The patient is a 59-year-old woman undergoing surveillance imaging for a ground glass nodule. Due to development of solid component, there was concern for development of malignancy. No biopsy was performed prior to surgery. Robotic ports were placed. After port placement, the dissection was started by taking down the inferior pulmonary ligament. Subsequently the pleura was opened over the posterior surface of the lung up to the apex and the lymph node dissection was performed. The dissection was then taken to isolate the right upper lobe bronchus and the bronchus intermedius. The pleura over the apex was then opened. The dissection to the apical and the anterior segmental arteries was then performed to isolate each branch. Next, the pulmonary artery was exposed in the fissure. The posterior segmental vessels were then identified. The basilar segmental vessels was transected using the robotic curve tip 30mm white load introduced through anterior arm. The right upper lobe bronchus was then isolated and posterior segmental bronchus was dissected. The segmental bronchus was isolated and transected using the curve tip 30 mm blue load through the anterior arm. Complete mediastinal lymph node dissection was performed prior to robotic undocking. The lung parenchyma was transected using manual staplers. The specimen was placed in a bag and removed through the assistant port. She was extubated and admitted to the step down unit. The chest tube was removed on POD#1, and she was discharged home without complication on POD#2. Final pathology showed a T1a lepidic adenocarcinoma.