Uniportal robotic right lower sleeve lobectomy

Bronchial sleeve lobectomies are technically challenging procedures. The robotic technique provides some advantages, especially for the anastomosis. In this case report, we present a uniportal robotic sleeve lower lobectomy with a middle lobe anastomosis for an endobronchial tumour of the lower lobe, extending to the distal end of the intermediate bronchus. A 4-cm skin incision is made at the sixth intercostal space in the middle axillary line. A 30-degree 10-mm camera is placed on the posterior edge of the incision and the other two arms are crossed inside the chest. We performed a right lower sleeve lobectomy with an end-to-end anastomosis between the proximal intermediate bronchial stump and the middle lobe bronchial stump. A postoperative endobronchial examination shows a well-done anastomosis. The patient was discharged on postoperative day 5. A histologic examination confirmed the diagnosis of a 2-cm atypical carcinoid without lymph node involvement.