Robotic Left Superior and Posterior Basal (S6+S10) Segmentectomy

When tumor is located in the superior segment of the lower lobe (S6) close to the intersegmental plane with the posterior basal segment (S10), bisegmentectomy of S6 and S10 is oncologically feasible and reasonable to preserve lung parenchyma. However, this bisegmentectomy is technically challenging because of the complex anatomy of S10. Herein, we report a successful case of left S6+S10 segmentectomy by a robotic approach with sufficient surgical margin. A robotic approach is suitable for such a complex segmentectomy of the lower lobe because of the good looking-up high-definition 3-dimensional view.