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Teleproctoring for Complex RATS Cases: Bronchoplastic Right S6 Segmentectomy
Lutz JA, Baste J-M, Azenha F. Teleproctoring for Complex RATS Cases: Bronchoplastic Right S6 Segmentectomy. November 2025. doi:10.25373/ctsnet.30542639
This video submission is from the 2025 CTSNet Innovation Video Competition. Watch all entries from the competition, including the winning videos.
This video shows the different discussions between the surgeon and the proctor that were made possible thanks to teleproctoring in a complex robotic-assisted thoracic surgery (RATS) case. A 66 -year-old patient with a metachronous squamous cell carcinoma originating from the B6 bronchus of the right lower lobe had undergone a complete workup. Due to a previous contralateral lobectomy more than a decade earlier, the patient’s lung function was marginal, with a forced expiratory volume in one second (FEV1) of 1.49L and a diffusion capacity of the lungs for carbon monoxide (DLCO) of 41 percent. The authors therefore opted for a bronchoplastic segmentectomy. Teleproctoring support during the entire surgery provided significant benefits. This video illustrates the different crucial steps along with the exchange of technical options.
References
- Saji H et al. Lancet 2022:399:1607-17.
- Altorki N et al. N Engl J Med 2023:388:489-98.
- Yano K et al. JTCVS Open 2024;18:261-75.
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