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[Refinements in Operative Field Exposure and Bronchial Anastomosis for Robot-assisted Thoracic Surgery Sleeve Lobectomy:Application of the Cerfolio Method].

Sleeve lobectomy remains one of the most challenging procedures in thoracic surgery. To date, reports on robotic-assisted thoracic surgery (RATS) sleeve lobectomy are limited, with most literature focusing on right upper lobe reconstructions. Notably, even Cerfolio's landmark reports do not detail bronchial wedge resection or sleeve lobectomy of the middle and lower lobes. Using a 0° scope with an upward-viewing technique allows for the observation of target bronchi in the middle and lower lobes from a low intrathoracic angle. Although the interlobar pulmonary artery often obstructs the bronch…