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Related Experiment Video

Updated: Mar 15, 2026

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer

Published on: February 27, 2026

VATS right upper lobe bronchial sleeve resection.

Qianli Ma¹, Deruo Liu¹

¹Department of Thoracic Surgery, China Japan Friendship Hospital, Beijing 100029, China.

Journal of Thoracic Disease

|September 14, 2016

Summary

Video-assisted thoracic surgery (VATS) sleeve bronchial lobectomy is effective for central lung cancer. This minimally invasive approach, utilizing specific incisions and interrupted sutures, ensures safe and efficient bronchial anastomosis.

Keywords:

Sleeve lobectomy lung cancer video-assisted thoracic surgery (VATS)

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Area of Science:

Thoracic Surgery
Surgical Oncology
Minimally Invasive Surgery

Background:

Locally advanced central lung cancer poses challenges for surgical resection.
Video-assisted thoracic surgery (VATS) offers a minimally invasive alternative for complex thoracic procedures.

Purpose of the Study:

To evaluate the efficacy and safety of VATS sleeve bronchial lobectomy for central lung cancer involving the main bronchus.
To describe optimal surgical techniques, including incision placement and suturing methods, for VATS bronchial sleeve resection.

Main Methods:

A case of central lung cancer involving the right upper lobe bronchus, right main bronchus, and bronchus intermedius was treated with VATS sleeve bronchial lobectomy.
Bronchial anastomosis was performed using interrupted sutures with circumference end-to-end technique.
A specific anterior axillary line incision was utilized.

Main Results:

The patient experienced no postoperative complications and was discharged within 8 days.
The chosen surgical approach facilitated clear exposure and safe anastomosis.
Interrupted sutures proved safe and effective for bronchial anastomosis.

Conclusions:

The third intercostal space anterior axillary line incision is recommended for right upper lobe bronchial sleeve resection to optimize anastomosis.
Clearing mediastinal lymph nodes prior to bronchial transection improves surgical exposure and prevents tension on the anastomosis.
Interrupted suture technique is a safe and effective method for VATS bronchial anastomosis in central lung cancer cases.