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Gharagozloo et al. Mini-invasive Surg 2020;4:55 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2020.42

Review Open Access

The technique of robotic lobectomy I: right-sided
lobes

Farid Gharagozloo, Mark Meyer

Center for Advanced Thoracic Surgery, Global Robotics Institute, Advent Health Celebration, University of Central Florida,
Celebration, FL 34786, USA.
Correspondence to: Dr. Farid Gharagozloo, Center for Advanced Thoracic Surgery, Global Robotics Institute, Advent Health
Celebration University of Central Florida, 400 Celebration Place, Celebration, FL 34786, USA.
E-mail: farid.gharagozloo.md@adventhealth.com
How to cite this article: Gharagozloo F, Meyer M. The technique of robotic lobectomy I: right-sided lobes. Mini-invasive Surg
2020;4:55. http://dx.doi.org/10.20517/2574-1225.2020.42
Received: 28 Apr 2020 First Decision: 25 May 2020 Revised: 25 May 2020 Accepted: 19 Jun 2020 Published: 1 Sep 2020

Academic Editor: Giulio Belli Copy Editor: Cai-Hong Wang Production Editor: Jing Yu

Abstract
Robotic Lobectomy has been evolving over the past decade and is an oncologically efficacious procedure.
Although robotic lobectomy is performed more frequently around the world, it accounts for a small percentage
of all lobectomies. The major determinants for the lower level of adoption of the robotic lobectomy procedure
are 1. The lack of concise step by step procedure outlines for the surgeons who are transitioning from either open
or video-assisted thoracic surgical procedures to robotics, or 2. A strategy for control of catastrophic bleeding
during the robotic lobectomy procedure. The Technique of Robotic Lobectomy Part I outlines a stepwise approach
to robotic lobectomy for the right upper, middle, and lower lobes. Part II outlines a stepwise approach to robotic
lobectomy for left upper, and lower lobes. Part III outlines a methodical technical approach for the control of
catastrophic bleeding complications.

Keywords: Robotic, lobectomy, bleeding, upper lobectomy, middle lobectomy, lower lobectomy, lung cancer

INTRODUCTION
The most common indication for lung resection is lung cancer. Approximately 228,150 (116,440 in men
and 111,710 in women) new cases of lung cancer were diagnosed in the United States in 2018. During the
[1]
same period, 142,670 patients died from lung cancer (76,650 in men and 66,020 in women) Lung cancer
is by far the leading cause of cancer death among both men and women. Each year, more people die of

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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