Open Right Lower Sleeve Lobectomy Technique

This video demonstrates the technique of an open right lower sleeve lobectomy. The patient is a thirty-four-year-old male diagnosed with a typical carcinoid involving the right lower lobe bronchus. For this surgery, a right posterolateral thoracotomy approach was used. Lung isolation was achieved with a left-sided double lumen endotracheal tube (DLT). The surgical steps depicted in this video commence with the dissection of the pulmonary artery and proceed to the division of the major vessels prior to bronchotomy. A sleeve of the bronchus intermedius and the middle lobe bronchus were taken along with the specimen to achieve adequate margins and spare pulmonary parenchyma.