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Segmentectomy Made Easier in Robotic Surgery With Curved Tip Tristapler and Leader Catheter

Wednesday, April 19, 2017

This video shows a robotic lingulectomy and lymphadenectomy in a 62-year-old non-smoker with a history of Dukes' B colorectal adenocarcinoma. The surgeon begins by dissecting the inferior pulmonary ligament, where the station 9 lymph nodes were dissected and sampled. The station 7 lymph nodes were then dissected. The surgeon then moved into the anterior oblique fissure and found a large L11 lymph node that looked malignant and removed that, as well as some L10 nodes. Next, a Gold Tip Tan 45 Stapler with a Leader Catheter was used to divide the lingular artery. The same technique was used to divide the lingular vein and finally the lingular bronchus, with an inflation test. Some L12 nodes were removed. Finally, the lingular segment was divided using an air inflation test to identify the boundaries of the segment, and the segment was removed.


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