Chest ACCP Member Benefits
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Guest Access | Sign In via User Name/Password
doi:10.1378/chest.07-1883
(Chest. 2008; 133:1474-1476)
© 2008 American College of Chest Physicians
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Article Archive
Right arrow Download to citation manager
Right arrow reprints & permissions
Google Scholar
Right arrow Articles by Kim, M. P.
Right arrow Articles by Gangadharan, S. P.
PubMed
Right arrow PubMed Citation
Right arrow Articles by Kim, M. P.
Right arrow Articles by Gangadharan, S. P.

Endobronchial Ultrasound-Facilitated Video-Assisted Lobectomy With Wedge Bronchoplasty for Typical Carcinoid Tumor of the Right Middle Lobe*

Min Peter Kim, MD; Armin Ernst, MD, FCCP; Malcolm M. DeCamp, MD and Sidhu P. Gangadharan, MD

* From the Sections of Thoracic Surgery (Drs. Kim, DeCamp, and Gangadharan) and Interventional Pulmonology (Dr. Ernst), Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA.

Correspondence to: Sidhu P. Gangadharan, MD, Section of Thoracic Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis St, Suite 2A, Boston, MA 02215; e-mail: sgangadh{at}bidmc.harvard.edu

A 19-year-old man presented with pneumonia, cough, and occasional dyspnea. Chest CT scan and bronchoscopy with biopsy revealed a typical carcinoid tumor obstructing the orifice of the right middle lobe, leading to lobar collapse. Preoperative surgical planning included radial endobronchial ultrasound, which confirmed that the tumor was not invasive into the bronchus intermedius. With that information, a video-assisted right middle lobectomy was performed with a wedge bronchoplasty in order to preserve the right lower lobe. The operation was performed completely thoracoscopically with three 1.2-cm ports and one 3.5-cm utility incision. With the intralobar pulmonary artery retracted, the bronchus was divided with a scalpel in wedge fashion to obtain a margin on the endobronchial tumor, and the defect was closed with absorbable suture. The patient recovered without complication and was doing well at 8-month follow-up, without evidence of recurrent disease.

Key Words: bronchoplasty • carcinoid tumor • endobronchial ultrasound • lobectomy • video-assisted thoracic surgery






HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Copyright © 2008 by the American College of Chest Physicians.