Video atlas of pulmonary segmentectomy: robotic-assisted right S1 segmentectomy with 3-dimensional imaging

Robotic-assisted thoracic surgery has seen a significant rise in recent years, particularly for complex lung cancer resections. Robotic surgery offers advantages such as three-dimensional visualization, improved tissue manipulation and precise instrument control. In conjunction with other minimally invasive techniques, robotic-assisted thoracic surgery is increasingly preferred over traditional open thoracotomy for lung cancer resections. This development has been suggested to reduce postoperative morbidity, shorten hospital stay and hasten postoperative recovery. Although pulmonary segmentectomy can present technical challenges, the use of three-dimensional reconstruction imaging allows for detailed preoperative visualization of the tumour and the adjacent bronchovascular structures. This enables more accurate and anatomically tailored resections. However, despite its potential, the discussions of the integration of virtual three-dimensional lung reconstruction into routine thoracic surgical practice remain limited in the current literature. We present a video atlas series of robotic-assisted segmentectomies guided by three-dimensional reconstruction imaging. This video tutorial includes a step-by-step guide for performing a right S1 segmentectomy for a patient presenting with a right upper lobe tumour.