Keypoints

• Minimally invasive lobectomy utilizing a telerobotic surgery system is feasible and reproducible
• Advantages provided by robotics include enhanced 3-D visualization and improved dexterity of instrumentation
• Successful implementation of robotic technology for anatomic pulmonary resection should result in perioperative outcomes commensurate with other MIS approaches and oncologic results on par with traditional open surgery

Telerobotic minimally invasive surgical techniques are relatively new and continue to evolve as technology advances. Robotic assistance during VATS lobectomy provides access to binocular, 3-dimensional imaging and enhanced dexterity of instrumentation for dissection. The authors have developed a technique that is feasible, safe and reproducible.