Thoracoscopic Right Lower Lobectomy

  • Dominique Gossot

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This video describes the anatomical landmarks and main steps of a full thoracoscopic right lower lobectomy. The additional lymph node dissection is not reported in the video. The technique is based on a fissure-first approach and uses multiple small-diameter ports. No access incision is needed. The procedure is performed using a high-definition camera system and a deflectable scope, mounted on a robotic scope positioner. The combination of this optic and the robotic scope positioner greatly enhances vision and provides a very accurate viewing angle. Dedicated thoracoscopic instruments are used in the surgery, and vessels are controlled by means of a vessel-sealing device or an endostapler. The video will be of high interest and practical assistance for all surgeons who wish to learn about the technique of robotically assisted thoracoscopic lower lobectomy and the benefits that it offers. It will be an invaluable aid in negotiating the steep learning curve.

Introduction

This video describes the anatomical landmarks and main steps of a thoracoscopic right lower lobectomy. The technique involves a fissure-first approach and use of a deflectable scope mounted on a robotic scope positioner. The video will be an ideal learning aid for surgeons.

About The Author

Dominique Gossot

Dr. Dominique Gossot, MD, is Head of the Thoracic Department at Institut Mutualiste Montsouris in Paris. Dr. Gossot received his basic medical and advanced surgical training at Paris VI University. His primary clinical focus is the development of advanced thoracic endoscopic techniques and technological developments in minimally invasive surgery. He is a member of the Society of Thoracic Surgeons (STS), the European Association for Cardiothoracic Surgery (EACTS), the European Society of Thoracic Surgeons (ESTS), and Société Française de Chirurgie Thoracique et Cardio-Vasculaire (SFCTCV). Dr. Gossot has published 170 peer-reviewed articles, including 95 as first author, as well as many book chapters. He is the author of the renowned Springer textbook Atlas of Endoscopic Major Pulmonary Resections. He is a former editorial board member for Surgical Endoscopy and acts as a reviewer for other leading journals in the field of thoracic and cardiovascular surgery.

 

About this video

Author(s)
Dominique Gossot
DOI
https://doi.org/10.1007/978-3-030-51286-6
Online ISBN
978-3-030-51286-6
Total duration
7 min
Publisher
Springer, Cham
Copyright information
© The Author(s) 2020

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Video Transcript

[MUSIC PLAYING]

This video shows a thoracoscopic right lower lobectomy performed using a posterior and fissure based approach. The lymph node dissection will not be demonstrated in this video.

This is the case of a 55-year-old patient with a primary adenocarcinoma of the right lower lobe, stage cT2aN0M0