Robotic Right Middle Lobectomy

Abstract

Lung cancer remains a significant health problem throughout the world. With the increasing adoption of lung cancer screening, there may be greater numbers and proportions of early-stage disease in the future. Anatomical pulmonary resection remains the major curative treatment, and minimally invasive approaches (video-assisted thoracic surgery and robotic surgery) are gradually becoming the standard of care for the surgical management of lung cancer. Compared with conventional video-assisted thoracic surgery, robotic technology offers advantages to the surgeon, including binocular and magnified optics, wristed instrumentation, and ergonomic comfort. Moreover, thoracic applications, particularly anatomical lung resection, are the fastest-growing field in robotic surgery. This article will review the technical steps required to perform robotic middle lobectomy. The incision strategy, the specific instrumentation utilized, and the stepwise approach are based on the author's preference and experience and are by no means either the preferred or only options available. One of the many advantages of robotic technology is the ability to tailor the technology to the individual surgeon's preferences.