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Wristed Instrument VATS Right Lower Lobe Sleeve Resection
At surgery, the oblique fissure was perfect and the bronchus could
easily be dissected out so using Maryland and Bipolar wristed dissector,
the authors performed a right lower lobe sleeve resection and sent it
for frozen section. They used 4.0 V-lock to perform the sleeve
This video shows the advantages of wristed instrumentation in VATS over robotics which includes tactile feedback, being by the patient's bedside if there is a bleeding complication, quick changing of instruments, the ability to use multiple instruments, wristed or unwristed, zero set up time, and cost.As the authors came to the end of the anastomosis, the frozen section came back saying that this was in fact small cell cancer and also there were some cells on the wall of the proximal bronchial resection margin. They decided to instead do a bilobectomy to finish the operation and get a better margin on the bronchus. Final Staging was pT3N1M0PL0R0 and the patient was referred for adjuvant chemotherapy and intracranial irradiation.