Robotic left lower lobectomy for Stage IB adenocarcinoma with critical exercise capacity

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ID: 328170
2026
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Ranked #31 of 50 articles by views in Multimedia Manual of Cardio-Thoracic Surgery

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Abstract
This video tutorial demonstrates a robotic-assisted left lower lobectomy in a 71-year-old female with critical exercise capacity. Preoperative evaluation revealed a 32 mm cavitated tumour in the left lower lobe. While pulmonary function tests showed a preserved forced expiratory volume in 1 second (84%), the peak oxygen consumption (VO2peak) was critically low at 5.9 mL/kg/min. Multidisciplinary assessment attributed this prohibitive value to severe musculoskeletal impairment rather than cardiopulmonary exhaustion. A robotic approach was selected to minimize chest wall trauma. The procedure involved standard hilar dissection, complete fissure division and systematic lymph node dissection. The patient experienced an uneventful recovery, with chest tube removal on postoperative Day (POD) 2 and hospital discharge on Day 3. Final pathology confirmed a 40 mm papillary adenocarcinoma (Stage IB) with micropapillary and solid components, and negative margins and lymph nodes.
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Authors José Yaryura Montero, Juan Medina, Nicolás Castaño, Mario Cafaro, Rodrigo Benavidez
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Journal Multimedia Manual of Cardio-Thoracic Surgery
Year 2026
DOI
10.1510/mmcts.2026.054
URL
https://doi.org/10.1510/mmcts.2026.054
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