Robotic left S9+10 with lobar split
Complex segmentectomy, left S9+10, showcasing the advantages of the DaVinci Xi robotic platform. Bimanual bipolar energy dissection of lung tissue, vessel seal extend bipolar diathermy device, tremendous magnification and great 3D optics, Firefly mode, complete control of camera and retraction of the lung, virtually zero blood loss, I could go on!
Previously, I would have performed this as a superior segment / S6- sparing left lower lobectomy VATS.
The early splitting of the S6 from S9+10 is useful because this patient had a incomplete fissure and fairly distal bifurcation of the A9+10 artery from the common basal artery.