Evidence map›Paper›PMID 40160479›Full record

ArticleSurgical case reports2025

Robotic Segmentectomy in a Patient with a Displaced Left Upper Division Bronchus and Fused Fissure.

Hironobu Wada, Ryo Karita, Yuki Hirai, Yuki Onozato, Toshiko Kamata, Hajime Tamura, Takashi Anayama, Ichiro Yoshino, Shigetoshi Yoshida

Abstract readCase Reports
In one paragraph

Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Hironobu WadaDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Ryo KaritaDepartment of Thoracic Surgery, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Yuki HiraiDepartment of Thoracic Surgery, International University of Health and Welfare Narita Hospital, Narita, Chiba, Japan.
Yuki OnozatoDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Toshiko KamataDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Hajime TamuraDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Takashi AnayamaDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Ichiro YoshinoDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.
Shigetoshi YoshidaDepartment of Thoracic Surgery, International University of Health and Welfare School of Medicine, Narita, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn thoracic surgery, anatomical anomalies and a fused fissure can cause inaccurate intraoperative recognition of anatomy and lead to accidental injury of pulmonary vessels and bronchi that should be preserved. A displaced left upper division bronchus (B CASE PRESENTATION: A female octogenarian presented for the treatment of simultaneous bilateral lung cancer. Three months after surgery for right lung cancer, a surgery for left lung cancer was performed. Preoperative computed tomography identified several broncho-arterial anomalies and a completely fused fissure, including a displaced left upper division bronchus and a pulmonary artery running anteriorly to the left main bronchus, similar to those in the right lung. Robotic left upper division segmentectomy with lymph node dissection was performed using a "hilum first, fissure last" approach with fine dissection of the hilar structures and minimal bleeding. The postoperative course was uneventful.

conclusionsPreoperative simulation and robotic-assisted thoracoscopic surgery enabled the safe and precise anatomical pulmonary segmentectomy for a patient with lung cancer, despite several bronchial and arterial anomalies, including a displaced left upper division bronchus.

Indexed as

displaced bronchusfused fissurerobotic-assisted thoracoscopic surgerysegmentectomy

Identifiers

PMID40160479
PMCPMC11949726

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.