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Navarrete-Arellano. Mini-invasive Surg 2020;4:9 I http://dx.doi.org/10.20517/2574-1225.2019.70 Page 9 of 12
A B C
D E
F G
H I
Figure 1. Robotics lobectomy technique in an infant patient. Female patient, 10 months old and 5.93 kg in weight. A, B: chest X-ray and
CT scan image showing the right lower lobe affected by CCAM; C: location of the two 8-mm robot instrument trocars, an 8.5-mm trocar
for camera lens, and an auxiliary 5-mm trocar in the right hemithorax and cephalic docking; D, E: IO images, dissection, ligation, and
cutting of the pulmonary vein of the affected lobe; F, G: IO images, management of the lobular bronchus with hemoclip and suture; H:
the complete lobectomy and pleural tube emerge through the wound to the trocar of the camera lens; I: the surgical piece was removed
through the trocar wound of the camera lens. CCAM: congenital cystic adenomatoid malformation; IO: Intraoperative