Carcinoid tumors are often located at the origin of a lobar or segmental bronchus. Stapling the bronchus, as is usually done during a thoracoscopic lobectomy or segmentectomy, creates the risk of damaging or crushing the tumor.
This video demonstrates a right basilar segmentectomy for an obstructive carcinoid tumor located at the origin of the basilar bronchial trunk, which required manual cutting and manual suturing of the bronchus. The procedure is performed using a totally thoracoscopic approach with a fissure-based dissection, a deflectable scope, multiple ports, and microinstruments, according to the authors' standard technique.
References
- Gossot D, Lutz JA, Grigoroiu M, Brian E, Seguin-Givelet A. Unplanned procedures during thoracoscopic segmentectomies. Ann Thorac Surg. 2017;104(5):1710-1717.
- Gossot D, Zaimi R, Fournel L, Grigoroiu M, Brian E, Neveu C. Totally thoracoscopic pulmonary anatomic segmentectomies: technical considerations. J Thorac Dis. 2013;5 Suppl 3:S200-S206.
Dr Gossot is a consultant for the instrument manufacturer Delacroix-Chevalier.
