Right lower lobe with lymph node dissection in N2 disease postCT

Giulia Veronesi (Milano – Italy) A. Borri

This video presents a robotic lobectomy of the right lower lobe in a patient with a locally advanced adenocarcioma submitted to induction chemotherapy. The lymph node of the paraeshofageal station R8, is removed first with radical intent. Lymph node dissection of station 7 is than performed using the hook cautery and bipolar cadiere after retracting the lung anteriorly. After mediastinal lymph node dissection is completed, the artery in the fissure Is isolated, a large R11 lymph node is removed to obtain a radical lymph node dissection and safe transaction of the artery at the hylum.The vein is transected using an endogia and the bronchus is isolated and trasected as las structure.
The lobe is removed using the endo bag . The procedure is concluded with lymph node dissection of station 10 and R2-R4.