Robot-assisted lobectomy for lung cancer in the presence of intraoperatively discovered broncho-vascular anomalies affecting right upper and middle lobes.

Anatomical variations of the pulmonary bronchi and vessels can lead to serious intraoperative complications during minimally invasive surgery if overlooked. We describe the intraoperative management of an exceptional bronco-vascular variation of the right upper and middle lobe revealed during robotic lobectomy.