BACKGROUND:In this video we demonstrate a robotic total lung parenchymal sparing sleeve resection of the bronchus intermedius for endobronchial carcinoid tumor of a 73-year-old former smoker. The mass was incidentally identified on calcium-scoring CT and confirmed bronchoscopically.
METHODS:Our resection utilizes a DaVinci Xi robot to perform right thoracoscopic surgery. The patient was placed in left lateral decubitus and 4 robotics ports were placed in the 8th intercostal space and one assistant port at the costal margin. The video demonstrates key steps in our dissection, identifies key landmarks and demonstrates our anastomotic technique.
RESULTS:Our patient recovered well without postoperative pneumothorax and was discharged on post-operative day three without a chest tube. Margins were negative and the patient had no nodal metastasis.
CONCLUSION:Endobronchial tumors amenable to sleeve resection represent a rare phenomenon amenable to primary resection with excellent outcomes. With this video we hope to demonstrate our technique and provide pointers for other surgeons considering operative intervention on patients with similar pathologies.
