Thoracoscopic Isolated Resection of the Right Main and Intermediate Bronchi with Preservation of the Interlobar Spur Between the Upper Lobar and Intermediate Bronchi for Carcinoid Tumor: Clinical Case

Introduction. Pulmonary carcinoid tumors are rare neuroendocrine neoplasms characterized by a relatively favorable clinical course. Surgical resection remains the primary treatment for typical carcinoid, with preference given to lung-preserving procedures, particularly bronchoplastic resections.

Materials and methods. This report presents a clinical case of successful minimally invasive surgical treatment in a 72-year-old woman with a typical carcinoid of the right main bronchus.

Results and discussion. Thoracoscopic isolated resection of the right main and intermediate bronchi was performed with reconstruction using a polybronchial anastomosis while preserving the interlobar spur between the upper lobar and intermediate bronchi. The procedure proved highly effective. An R0 resection was achieved and confirmed by intraoperative frozen-section analysis. No postoperative complications occurred. Long-term follow-up demonstrated no evidence of recurrence, with preservation of satisfactory pulmonary function.

Conclusion. This case demonstrates the feasibility and oncologic adequacy of minimally invasive bronchoplastic procedures as an alternative to more extensive pulmonary resections in patients with centrally located typical carcinoid tumors.

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