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Updated: Mar 22, 2026
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
Published on: February 27, 2026
Sleeve resection for bronchial carcinoid tumour in two children under six years old
Basak Erginel1, Berker Ozkan2, Feryal Gun Soysal3
1Department of Pediatric Surgery, Istanbul Faculty of Medicine, Istanbul University, Millet caddesi, Capa, 34093/Fatih, Istanbul, Turkey. basakerginel@hotmail.com.
Insights
Bronchoplastic techniques are effective for rare paediatric tracheobronchial tumours. These lung-sparing surgeries preserve lung function in children, offering a better alternative to traditional resections.
Area of Science:
- Pediatric surgery
- Thoracic oncology
- Pulmonary medicine
Background:
- Paediatric tracheobronchial tumours are rare, with limited surgical options due to complexity and potential sequelae.
- Traditional pneumonectomy and lobectomy are often contraindicated in children.
- Bronchoplastic techniques offer lung parenchyma preservation through resection and reconstruction of central airways.
Observation:
- A 6-year-old boy with a right main bronchus carcinoid tumour underwent successful right upper sleeve lobectomy.
- A 4-year-old girl with a left main bronchus carcinoid tumour received a sleeve resection for airway stenosis.
Findings:
- Sleeve lobectomy and sleeve resection are viable bronchoplastic techniques for paediatric carcinoid tumours.
- Successful surgical management was achieved in both paediatric cases presented.
- These techniques allowed for tumour removal while preserving lung tissue.
Implications:
- Bronchoplastic surgery is a successful and important option for paediatric airway tumours.
- Preserving lung parenchyma is crucial in paediatric patients, making these techniques highly valuable.
- These methods can improve outcomes and reduce long-term morbidity in children with airway tumours.
Background:
Paediatric tracheobronchial tumours are very rare, and pneumonectomy and lobectomy procedures are rarely indicated due to their surgical difficulties and high sequelae. Bronchoplastic techniques preserving lung parenchyma allow the resection and reconstruction of the main bronchi and carina.
Case Presentation:
Here, we present a 6-year-old boy suffering from a carcinoid tumour of the right main bronchus which was successfully managed with a right upper sleeve lobectomy and a 4-year-old girl with an endobronchial carcinoid tumour narrowing the left main bronchus that received a sleeve resection of that bronchus.
Conclusion:
Bronchoplastic techniques are widely used in adults, can be very successful in paediatric patients where the preservation of the lung parenchyma is more important.
