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Gharagozloo et al. Mini-invasive Surg 2020;4:66 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2020.53

Review Open Access

The technique of robotic anatomic pulmonary
segmentectomy I: right 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 I: right sided
segments. Mini-invasive Surg 2020;4:66. http://dx.doi.org/10.20517/2574-1225.2020.53
Received: 27 May 2020 First Decision: 13 Jul 2020 Revised: 13 Jul 2020 Accepted: 20 Jul 2020 Published: 12 Oct 2020

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

Abstract
Anatomic pulmonary segmentectomy and mediastinal nodal dissection have been advocated in patients with
smaller tumors or patients with limited pulmonary reserve. The overall five-year survival and lung cancer-specific
five-year survival following anatomic segmentectomy have been shown to be equivalent to lobectomy. Robotic
surgical systems have the advantage of magnified high-definition three-dimensional visualization and greater
instrument maneuverability in a minimally invasive platform. Robotics can facilitate the dissection of the broncho-
vascular structures and replicate the technique of segmentectomy by thoracotomy. Greater experience with the
robotic platform has resulted in a reproducible technique. The Technique of Robotic Anatomic Segmentectomy
Part I outlines a stepwise approach to robotic segmentectomy of S1, S2, S3, S4, S5, S6, and S7-S10 of the right
lung. The Technique of Robotic Anatomic Segmentectomy Part II outlines a stepwise approach to robotic
segmentectomy to the left lung.

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

INTRODUCTION
Anatomic segmental resection (segmentectomy) is the excision of one or more bronchopulmonary
segments of a pulmonary lobe with individual ligation and division of the corresponding broncho-vascular

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