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Gharagozloo et al. Mini-invasive Surg 2020;4:68 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2020.60

Review Open Access

The technique of robotic anatomic pulmonary
segmentectomy II: left sided segments

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 anatomic pulmonary segmentectomy II: left sided
segments. Mini-invasive Surg 2020;4:68. http://dx.doi.org/10.20517/2574-1225.2020.60
Received: 17 Jun 2020 First Decision: 24 Jul 2020 Revised: 26 Jul 2020 Accepted: 30 Jul 2020 Published: 12 Oct 2020

Academic Editor: Noriyoshi Sawabata Copy Editor: Cai-Hong Wang Production Editor: Jing Yu

Abstract
Anatomic pulmonary segmentectomy and mediastinal nodal dissection has been advocated in patients with
smaller tumors or patients with limited pulmonary reserve. The overall 5-year survival and the lung cancer-specific
5-year survival following anatomic segmentectomy have been shown to be equivalent to that of lobectomy.
Robotic surgical systems have the advantage of magnified, high-definition three-dimensional visualization and
greater instrument maneuverability in a minimally invasive platform. These robotic systems can facilitate the
dissection of the bronchovascular structures and replicate the technique of segmentectomy by thoracotomy.
Greater experience with the robotic platform has resulted in a reproducible anatomic segmentectomy technique.
This is a companion paper to The Technique of Robotic Anatomic Segmentectomy I: Right Sided Segments. This
paper outlines the technique of anatomic pulmonary segmentectomy for the left lung: Left Upper Lobe (LUL)
Anterior Segment (S3), LUL Apicoposterior Segment (S1 + S2), LUL Lingulectomy (S4, S5), Left Lower Lobe (LLL)
Superior Segmentectomy (S6), and LLL Basal Segmentectomy (S7-S10).

Keywords: Robotic, segmentectomy, lung cancer, superior segment, anterior segment, apicoposterior segment,
basal segment, sublobar resection

INTRODUCTION
Historically, anatomic pulmonary segmentectomy was used for the surgical treatment of lung abscesses and
other lung infections. Chevalier Jackson and John Hubert first proposed a system of nomenclature for the
© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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sharing, adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as long
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