機(jī)器人輔助經(jīng)前側(cè)通用入路全胸膜腔閉鎖下右肺上葉后段切除術(shù)一例報(bào)道（附手術(shù)視頻）

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中圖分類號 R655.3 R734.2 文獻(xiàn)標(biāo)識碼：A文章編號 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

胸膜腔閉鎖是由于胸膜炎癥、腫瘤、結(jié)核以及連，是胸部手術(shù)中面臨的一項(xiàng)重大挑戰(zhàn)[1]。（剩余7619字）