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Gharagozloo et al. Mini-invasive Surg 2020;4:56 I http://dx.doi.org/10.20517/2574-1225.2020.43 Page 9 of 10

Figure 19. The bronchus to the LLB is divided using a stapler with a purple cartridge. LLB: left lower lobe

pulmonary artery is also identified. The Cadiere forceps is passed under the superior segmental pulmonary
artery, a vessel loop is passed underneath and used to encircle and elevate the vessel, and the vessel is divided
with a stapler with a white vascular cartridge introduced from a medial to lateral direction [Figure 16].
Next, the lower lobe artery is encircled and divided in a similar fashion with a white cartridge [Figure 17].

The lung is elevated and retracted medially. The Cadiere forceps is passed from a medial to lateral direction
under the inferior pulmonary vein, a vessel loop is used to encircle and elevate the vein. The inferior
pulmonary vein is divided using a stapler with a white vascular load introduced from inferior to superior
direction [Figure 18].

Finally, the bronchus is divided using a stapler with a purple cartridge [Figure 19]. The lower lobe specimen
is removed using the same technique as has been described with the upper lobe.

CONCLUSION
Robotic lobectomy has been evolving over the past decade and has been shown to be an oncologically
acceptable procedure. A methodical approach to the conduct of the lobectomies and a proven strategy for
the control of major vascular injury will increase adoption.

DECLARATIONS
Authors’ contributions
Collected the data, performed the procedures, and composed the manuscript: Gharagozloo F, Meyer M

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
Both authors declared that there are no conflicts of interest.

Ethical approval and consent to participate
Not applicable.