Left Lower Lobe Sleeve Resection for a Carcinoid Tumor

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By Andrew F. Pierre, MD, MSc and Marcelo Cypel, MD, MSc

This video shows a left lower lobe sleeve resection (reimplantation of the left upper lobe bronchus into the left mainstem bronchus) for a carcinoid tumor in the left lower lobe bronchus. The diagnosis was established pre-operatively by bronchoscopy and fine needle aspiration (FNA) of the lesion. Surgical pathology confirmed this to be a typical carcinoid tumor measuring 1.8 cm with clear surgical margins. Hilar and mediastinal lymph-nodes were negative. Bronchoplastic procedures, conserving lung parenchyma, should be attempted whenever possible when treating centrally located endobronchial carcinoid tumors. This technique is preferable to pneumonectomy or bilobectomy.

The video can also be viewed, larger, in a new window: Left Lower Lobe Sleeve Resection for a Carcinoid Tumor.