Robotic Sleeve Lobectomy of the Right Lower Lobe
mediaposted on 2017-06-20, 19:41 authored by Shruti Jayakumar, Marco Nardini, Joel Dunning
This is the case of 65-year-old male with a proven adenocarcinoma at the orifice of the apical segment of the right lower lobe. He underwent a robotic sleeve lobectomy with a station 7 lymphadenectomy. The right lower lobe artery and right lower lobe vein were divided using the Covidien Curved Tip Stapler with a leader catheter, which facilitated ease of stapling by the assistant. Initially, the right lower lobe bronchus was cut with scissors and the orifice was stitched. After a frozen section of the bronchus was identified as positive for malignancy, the margins were extended and a sleeve resection was carried out. The middle lobe bronchus and bronchus intermedius were anastomosed using continuous, 4.0 barbed (V-Loc) sutures. Following a slight air leak, a few more sutures were added to the anastomosis, which resolved the leak.