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Thoracoscopic middle lobectomy with sleeve resection for bulky carcinoid tumor

Epublication WebSurg.com, Apr 2014;14(04). URL: http://websurg.com/doi/vd01en4215

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  • 2014-04-04
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We report the case of a 35-year-old female patient presenting with hemoptysis from a bulky carcinoid tumor 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. Resection margins were free. The final pathologic examination confirmed a typical pT1bN0carcinoid tumor. The patient was discharged on postoperative day 4, after an uneventful postoperative course. The main steps of the procedure are described. The slightly hemorrhagic atmosphere of the operation is due to vascular compression from the tumor.