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Robotic-Assisted Right Upper Lobectomy Following Neoadjuvant Treatment

Monday, July 28, 2025

Hemead H, Granato F. Robotic-Assisted Right Upper Lobectomy Following Neoadjuvant Treatment. July 2025. doi:10.25373/ctsnet.29660636

This video submission is from the 2025 CTSNet Instructional Video Competition. Watch all entries from the competition, including the winning videos.  

The authors present the first robotic lung resection following neoadjuvant therapy at their institution. This case involved a female patient who presented with a partial clinical response to right upper lobe adenocarcinoma. Intraoperatively, there was hilar and mediastinal lymphadenopathy and inflammatory tissue reaction, which made dissection challenging. The robot facilitated visualization and fine dissection of planes to identify hilar structures and isolate vessels. 

The authors demonstrate that robotic-assisted surgery following neoadjuvant treatment is safe and feasible, offering the advantage of improving visualization and dissection under direct vision.


References

  1. Zeng J, Yi B, Chang R, Chen Y, Yu Z, Gao Y. Safety and feasibility of robotic-assisted thoracic surgery after neoadjuvant chemoimmunotherapy in non-small cell lung cancer. Frontiers in Oncology. 2023 Feb 23;13:1134713.
  2. Gao Y, Jiang J, Xiao D, Zhou Y, Chen Y, Yang H, Wang L, Zeng J, He B, He R, Li M. Robotic-assisted thoracic surgery following neoadjuvant chemoimmunotherapy in patients with stage III non-small cell lung cancer: A real-world prospective cohort study. Frontiers in Oncology. 2022 Aug 4;12:969545.

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