Mughal Aishah Zubaid, El-Zeki Ahmed, Oliemy Ahmed
New Cross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom.
New Cross Hospital, Royal Wolverhampton NHS Trust, Wolverhampton, United Kingdom Mansoura University, Mansoura, Egypt.
Multimed Man Cardiothorac Surg. 2025 Jan 10;2025. doi: 10.1510/mmcts.2024.133.
Robotic-assisted thoracic surgery has become increasingly utilized in recent years. Complex lung cancer resection surgery can be performed using a robotic approach. It facilitates 3-dimentional visualization of structures, enhanced manipulation of tissues and precise movements. Combined with other minimally invasive surgical techniques, robotic-assisted thoracic surgery in comparison to open thoracotomy has become increasingly favoured among surgeons for the treatment of lung cancer. Pre-existing data have shown that such minimally invasive approaches are associated with reduced postoperative morbidity, length of hospital stay and quicker post-surgical recovery. Robotic-assisted pulmonary segmental resection can be technically challenging; however, 3-dimensional reconstruction imaging enables detailed preoperative visualization of the tumour and surrounding bronchovascular anatomy. This preoperative tool can therefore facilitate enhanced and accurate anatomical lung resections. Nevertheless, the application of virtual 3-dimensional lung reconstruction within thoracic surgical practice is rarely documented in the pre-existing literature. We present a video atlas series of robotic-assisted segmentectomies guided by 3-dimensional reconstruction imaging. This video tutorial includes a step-by-step guide for performing a right S3 segmentectomy for a patient presenting with a right upper lobe tumour.
近年来，机器人辅助胸外科手术的应用越来越广泛。复杂的肺癌切除手术可以通过机器人手术方法进行。它有助于对结构进行三维可视化，增强组织操作能力并实现精确移动。与其他微创手术技术相结合，与开胸手术相比，机器人辅助胸外科手术在肺癌治疗中越来越受到外科医生的青睐。已有数据表明，这种微创方法与术后发病率降低、住院时间缩短和术后恢复更快相关。机器人辅助肺段切除术在技术上可能具有挑战性；然而，三维重建成像能够在术前详细可视化肿瘤及周围支气管血管解剖结构。因此，这种术前工具有助于进行更精确的解剖性肺切除术。尽管如此，在现有的文献中，虚拟三维肺重建在胸外科手术中的应用很少有记录。我们展示了一系列由三维重建成像引导的机器人辅助肺段切除术视频图谱。本视频教程包括为一名患有右上叶肿瘤的患者进行右S3段切除术的分步指南。
