Robotic left transthoracic left main bronchial sleeve resection with preoperative three-dimensional planning.
David Downes, Benjamin Gerhardy, Jonathan P Williamson et al.
✦ AI-curated · Sources linked
Case in brief
A patient with a typical carcinoid tumor in the left main bronchus underwent robotic left main bronchial sleeve resection through a left transthoracic approach. Preoperative three-dimensional CT reconstruction was used to plan dissection around the pulmonary artery, pulmonary veins, and left atrium; intraoperative Firefly fluorescence imaging helped localize the tumor without needle puncture. The minimally invasive, lung-preserving operation achieved negative surgical margins while avoiding pneumonectomy.
What made this case unusual
The report combines preoperative three-dimensional anatomical planning with fluorescence-guided tumor localization during robotic left main bronchial sleeve resection.
Diagnostic / clinical pearl
For selected endobronchial tumors, sleeve resection can preserve the ipsilateral lung; three-dimensional CT planning and fluorescence imaging may support operative anatomy and tumor localization.