机器人辅助经前侧通用入路全胸膜腔闭锁下右肺上叶后段切除术一例报道（附手术视频）

打开文本图片集

中图分类号 R655.3 R734.2 文献标识码：A文章编号 2096-7721（2025）04-0542-05

Robot-assisted posterior segmentectomy of the right upper lobe under total pleural cavity atresia through the anterior universal approach： a case report （with surgical video）

TAO Shaolin， ZHANG Zuwang， QI Dongdong， KANG Poming，TAN Qunyou （DepartmentofThoracicurgery，University-TownHospitalofChongqingMedical University，Chongqing 4Ol331，Cina）

AbstractObeieTexploelalutiltndtecicaldaagsofbotasistedtacoopisurgeryRA）iater approach forcomplexpleuraladhesios，withacasepresetationofrightupprlobeposteriorsegment （S2）resection.Methods：Apatint withearly-stagelngcanerinteSsgmentanddifusepleuraladsiosunderwentRATSviaanteriorapproachonAugust22024. Preoperative3DurgicalpngaspodIntrapeatielyteta’sproprietary“4-6-8”totuvsalateac wasadoptedtoompleteadsiolysisndS2segmeetoyunderboticasistanceaximingparecalpresevationandmiiing traumawhilesingocolcaldicalityResults：Teproceureasueful，esugerylasted5in；icuingadgtie of 20 min and a console time of 1 9 0 m i n （110 min for adhesiolysis）. Intraoperative blood losswas12O mL.Postoperative air leak persisted for10dayswithoutothercomplications.Pathologyconfimedminimallinvasiveadenocarcinoma.Thepatientrecoveredunevetfuly. Conclusion：RATSsignfcantlyenhancesprecisionandexpandsindicationsforcomplexpleuraladhesios.Theanterior3-ptppach optimizes surgical access and operative space，providing critical technical supportfor challenging thoracic procedures. Kev wordeRnhot-aecieted Thoracic SurrarvSammantactomv.Plaural Adhacione.Iung Adenonarinoma

胸膜腔闭锁是由于胸膜炎症、肿瘤、结核以及连，是胸部手术中面临的一项重大挑战[1]。（剩余7619字）