V-008FULL THORACOSCOPIC MIDDLE LOBECTOMY WITH SLEEVE RESECTION FOR BULKY CARCINOID TUMOUR

• Published in: Interactive cardiovascular and thoracic surgery Vol. 18; no. suppl_1; p. S3
• Main Authors: Dahdah, J., Gossot, Dominique, Grigoroiu, M., Brian, E.
• Format: Journal Article
• Language: English
• Published: Oxford University Press 01.06.2014
• ISSN: 1569-9293; 1569-9285
• DOI: 10.1093/icvts/ivu167.8

Objectives: Video-assisted and thoracoscopic lobectomies are now frequently performed. However, sleeve resections are unusual, especially when performed via a full thoracoscopic approach, i.e. without utility incision. We report a case of full thoracoscopic middle lobectomy with sleeve resection for bulky carcinoid tumour. Video description: We report the case of a 35-year-old female patient presenting with haemoptysis from a bulky carcinoid tumour of the middle lobe protruding in the truncus intermedius. A middle lobectomy with sleeve resection was performed, using a full thoracoscopic approach, i.e. without utility incision. The resections margins were free. Final pathologic examination confirmed a typical carcinoid tumour pT1bN0. The patient was discharged on Day 4, after an uneventful postoperative course. The main steps of the procedure are described. The slightly haemorrhagic atmosphere of the operation is due to vascular compression from the tumour. Comments of the procedure will be given live. Conclusions: Provided endoscopic suturing is mastered, performance of thoracoscopic sleeve resection can be done in selected patients. Disclosure: No significant relationships.