Uniportal video-assisted thoracoscopic surgery: left S6 sleeve segmentectomy

Abstract

A typical carcinoid has been described as a low-grade malignancy belonging to the group of neuroendocrine tumours. Surgical resection is the treatment of choice for early-stage carcinoid tumours, resulting in excellent five-year survival rates. Resection of tumours located in peripheral parts of the lung is usually straightforward and well described. However, resection of endobronchial tumours located in the major airway may represent a serious challenge. Different types of bronchial sleeve resections have been developed to address this issue and to avoid unnecessary loss of otherwise healthy pulmonary tissue. A sleeve segmentectomy could be an option in cases with limited airway involvement at the level of the segmental bronchus. Nevertheless, reports of this technique in the literature are rare. We present our technique for a uniportal video-assisted thoracoscopic surgery bronchial sleeve segmentectomy.

Keywords: Lung cancer; Lung parenchyma-saving resection; Segmentectomy; Sleeve resection; Uniportal VATS.