Extended Sleeve Resection
Extended Sleeve Resection - Related Videos
11:17
Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer
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2026
Here we present thoracoscopic extended sleeve lobectomy, an applicable procedure for patients with centrally located non-small-cell lung cancer that exceeds an anatomic lobe and improves the probability of complete resection while preserving respiratory capacity.
06:43
Robotic Duodenal Sleeve Resection for Gastrointestinal Stromal Tumor with Rare Exon 8 KIT Mutation Following Neoadjuvant Imatinib
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2026
This video case report demonstrates the unique management of a duodenal gastrointestinal stromal tumor with a rare, understudied, exon 8 KIT mutation. Neoadjuvant therapy resulted in a 30% reduction in tumor size, making the patient a candidate for a robotic-assisted duodenal sleeve resection instead of the more morbid pancreaticoduodenectomy.
03:58
Brain Tumor Resection in a Mouse Using a Minimally Invasive Resection System
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2025
Source: Alomari, S., et al. Implementation of Minimally Invasive Brain Tumor Resection in Rodents for High Viability Tissue Collection. J. Vis. Exp. (2022)This video demonstrates the use of a minimally invasive resection system (MIRS) to excise tumor tissue from an anesthetized mouse implanted with a tumor. The procedure involves securing the mouse onto a stereotactic frame, reopening the previous surgical site to access the brain, and inserting a specialized cannula that utilizes suction and a...
05:57
ADSC-sheet Transplantation to Prevent Stricture after Extended Esophageal Endoscopic Submucosal Dissection
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Cited by 14 •
2017
This study reports a successful method of endoscopical adipose tissue-derived stromal cell (ADSC)-sheet transplantation for esophageal stricture prevention after an extended endoscopic submucosal dissection (ESD) in a swine model.
05:49
Murine Vertical Sleeve Gastrectomy: A Surgical Procedure to Downsize Stomach in Experimental Mouse Models
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2023
In this video, a vertical sleeve gastrectomy procedure is performed on an experimental mouse model. This procedure helps remove a significant portion of the stomach along its greater curvature.
FAQs
Resection margins determine whether the tumor-bearing airway can be divided beyond the lesion while still allowing the remaining bronchial ends to meet. This margin-focused planning supports complete tumor removal without unnecessarily sacrificing additional lung. The direct bronchial connection, called an anastomosis, must then heal adequately, making margin assessment and healing central to operative success.
When an adjacent pulmonary artery is involved, airway treatment alone may not restore vascular continuity. Reconstruction can reconnect the artery after the diseased segment is removed, allowing the operation to preserve its lung-sparing strategy. The bronchial and vascular components therefore must be planned together when the tumor extends beyond the airway into nearby pulmonary vessels.
Compared with pneumonectomy, Extended Sleeve Resection can remove a centrally located tumor while sacrificing less lung tissue in selected patients. The advantage is not universal: candidacy depends on whether complete removal remains feasible and whether the patient has sufficient cardiopulmonary reserve. This comparison helps balance oncologic completeness against preservation of functional lung.
The airway is divided beyond the lesion, and the diseased bronchial segment is excised. The remaining bronchial ends are then joined directly, while pulmonary artery continuity is reconstructed if the adjacent vessel also requires removal. Coordinating these steps links tumor clearance with restoration of airway continuity and, when necessary, the associated vascular pathway.
Surgical planning must assess the tumor's central location, the adequacy of resection margins, and the patient's cardiopulmonary reserve. The team must also consider whether the bronchial connection can heal after reconstruction. Together, these factors help identify patients in whom complete tumor removal may be pursued while accounting for physiologic limitations and anastomotic healing.
The procedure is mainly relevant to centrally located lung cancers in which removing the entire lung could sacrifice more tissue than necessary. Its potential outcome is complete tumor removal with preservation of functional lung, but only in selected patients. It therefore supports individualized thoracic surgical planning rather than serving as a uniform replacement for pneumonectomy.