Name: Thoracoscopic Extended Right Middle Plus Lower Sleeve Lobectomy for Non-Small-Cell Lung Cancer (Video) | JoVE Journal
Uploaded: 2026-02-27T15:00:00.000+00:00
Duration: 11 min 17 s
Description: Learn thoracoscopic extended sleeve lobectomy for non-small-cell lung cancer using VATS. This minimally invasive technique preserves lung function while ensuring complete tumor resection through bronchial reconstruction.

ai_agent_IP

ai_agent

maintenance

instantTrialDurationMinutes

isBiopharma

enableNewMyJoveSectionDesign

educationFeatures

seoMetaApi

ai_copilot_institution_blacklist

ai_chat_institution_blacklist

freeAccessWindow

ssoRoleCapture

scheduledMaintenanceBanner

joveLabsFeatures

disable_autoplay_for_bots

extended_trial_duration

5 minutes

This study has been supported in part by the Young Talents Program of Sun Yat-sen University Cancer Center [grant number YTP-SYSUCC-PT22070501].

Written informed consent was obtained from the patient for publication. The procedure was performed in accordance with the ethical guidelines; however, institutional review board approval was exempted for this study.
1. Patient selection
<ol>
	<li>Select patients with upfront or post-induction resectable centrally located NSCLC in the ostium of bronchus intermedius on a recent contrast-enhanced CT scan and bronchoscopy (maximum of 4 weeks old).</li>
	<li>Exclude patients with metastatic disease, invading upper lung bronchi greater than 5 mm, or who are physically unable to tolerate one-lung ventilation.</li>
	<li>During training, exclude patients with previous major thoracic surgery or radiotherapy.</li>
</ol>
2. Surgical technique
<ol>
	<li>Operative setting
	<ol>
		<li>Place the anesthetized patient in the left decubitus position.</li>
		<li>Place sterile drapes to expose the region from the anterior axillary line to the mid-scapular line.</li>
		<li>Create a 4 cm utility port with diathermy in the fourth intercostal space and a 1 cm thoracoscope incision in the seventh intercostal space.</li>
		<li>Perform a routine thoracoscopic exploration from the costodiaphragmatic recess to the apex of the chest to exclude pleural metastases. 
		NOTE: Use of bronchoscopy via endotracheal intubation is advisable for localizing the tumor to determine the extent of resection.</li>
	</ol>
	</li>
	<li>Hilar exploration
	<ol>
		<li>Exposure
		<ol>
			<li>Use the ultrasonic scalpel to divide the inferior pulmonary ligament, open the posterior mediastinal pleura up to the inferior border of the azygos arch.</li>
			<li>Preserve the vagus nerve, dissect the posterior aspect of the subcarinal lymph nodes with an ultrasonic scalpel.</li>
		</ol>
		</li>
		<li>Dissection of the pulmonary vein
		<ol>
			<li>Open the pericardium in a &#34;U-shape&#34; with a scalpel alongside the inferior pulmonary vein.</li>
			<li>Dissect the inferior pulmonary vein with a double-hinged dissector, then divide the vein intrapericardially with an endoscopic linear stapler.</li>
			<li>Dissect the middle lobe pulmonary vein extrapericardially and similarly divide the vein.</li>
		</ol>
		</li>
	</ol>
	</li>
	<li>Lymph node dissection
	<ol>
		<li>Subcarinal lymph nodes
		<ol>
			<li>Given that the subcarinal lymph nodes are attached firmly to the bronchus intermedius, leave these nodes for dissection after dividing the bronchus.</li>
		</ol>
		</li>
		<li>Paratracheal lymph nodes
		<ol>
			<li>Following the removal of the anterior hilar nodes, begin the dissection with the sub-azygos arch region. Use the ultrasonic scalpel to seal the lymphatic vessels under direct vision.</li>
			<li>Open the mediastinal pleura alongside the superior vena cava up to the inferior border of the subclavian artery with a scalpel. Remove the superior and inferior paratracheal lymph nodes in a whole package. Care should be taken not to injure the underneath innominate artery.</li>
		</ol>
		</li>
	</ol>
	</li>
	<li>Proximal vessels control and bi-lobectomy
	<ol>
		<li>Proximal hilar control
		<ol>
			<li>Use the endoscopic Harken clamp to encircle the entire right pulmonary artery and the remaining superior pulmonary vein together.</li>
			<li>Achieve temporary blocking of the vessels by the Rumel-Belmont tourniquet, placed in the upper chest cavity.</li>
		</ol>
		</li>
		<li>Dissection of the secondary carina
		<ol>
			<li>Identify the interlobar node between the upper lobe bronchus and the bronchus intermedius. Use an electrocautery hook to open a landmark point to facilitate the upper lobe bronchus division with a scissor.</li>
			<li>Similarly, divide the right main bronchus. Obtain direct visualization of the tumor invading the secondary carina after complete division.</li>
		</ol>
		</li>
		<li>Resection of the middle and lower lobes
		<ol>
			<li>Dissect the interlobar nodes with their surrounding tissues to the bronchus intermedius with an electrocautery hook to guarantee a safe margin.</li>
			<li>Remove the subcarinal lymph nodes.</li>
			<li>Divide the remaining pulmonary artery as well as the horizontal fissure by an endoscopic linear stapler. Retrieve the middle and lower lobes in a specimen bag through the utility port.</li>
			<li>Send bronchial edges from both proximal (right main bronchus) and distal (right upper lobe bronchus) for frozen section to exclude any tumor residue.</li>
		</ol>
		</li>
	</ol>
	</li>
	<li>Azygos vein suspension and bronchial stump adaptation
	<ol>
		<li>Use a part of the urine tube (8 Fr) to encircle the azygos arch, and stitch it to the posterior chest wall to help expose the right main bronchus by retracting the azygos arch.</li>
		<li>Remove a part of the right main bronchus in a &#34;U&#34; shape in the cartilage-membrane joint section by endoscopic scissors.</li>
		<li>Approximate the defect by two interrupted sutures to adapt the size of the right main bronchus with 3-0 absorbable sutures.</li>
	</ol>
	</li>
	<li>Bronchial anastomosis
	<ol>
		<li>Perform a continuous running suture with 4-0 Polydioxanone for bronchial anastomosis. Hang the thread for suturing the posterior wall in the parietal pleura to avoid thread kinking.</li>
		<li>Tie the knot by a knot pusher extracorporeally. Then, perform the saline irrigation test with 30 cm H2O airway pressure.</li>
	</ol>
	</li>
	<li>Thymic flap coverage
	<ol>
		<li>Harvest a thymic fat flap, either pedicle or free, by the ultrasonic scalpel to cover the anastomotic site. Leave the pericardial defect open. Place a 24 Fr chest tube, and close the incisions using absorbable sutures.</li>
	</ol>
	</li>
</ol>

<ol><li>Forde, P. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Neoadjuvant+nivolumab+plus+chemotherapy+in+resectable+lung+cancer%5BTitle%5D)+AND+%22N+Engl+J+Med%22%5BJournal%5D)">Neoadjuvant nivolumab plus chemotherapy in resectable lung cancer.</a> N Engl J Med. 386 (21), 1973-1985 (2022).</li>
<li>Forde, P. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Overall+survival+with+neoadjuvant+nivolumab+plus+chemotherapy+in+lung+cancer%5BTitle%5D)+AND+%22N+Engl+J+Med%22%5BJournal%5D)">Overall survival with neoadjuvant nivolumab plus chemotherapy in lung cancer.</a> N Engl J Med. 393 (8), 741-752 (2025).</li>
<li>Heymach, J. V., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Perioperative+durvalumab+for+resectable+non-small-cell+lung+cancer%5BTitle%5D)+AND+%22N+Engl+J+Med%22%5BJournal%5D)">Perioperative durvalumab for resectable non-small-cell lung cancer.</a> N Engl J Med. 389 (18), 1672-1684 (2023).</li>
<li>Lu, S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Perioperative+toripalimab+plus+chemotherapy+for+patients+with+resectable+non-small+cell+lung+cancer%3A+The+neotorch+randomized+clinical+trial%5BTitle%5D)+AND+%22JAMA%22%5BJournal%5D)">Perioperative toripalimab plus chemotherapy for patients with resectable non-small cell lung cancer: The neotorch randomized clinical trial.</a> JAMA. 331 (3), 201-211 (2024).</li>
<li>Wakelee, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Perioperative+pembrolizumab+for+early-stage+non-small-cell+lung+cancer%5BTitle%5D)+AND+%22N+Engl+J+Med%22%5BJournal%5D)">Perioperative pembrolizumab for early-stage non-small-cell lung cancer.</a> N Engl J Med. 389 (6), 491-503 (2023).</li>
<li>Okada, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Extended+sleeve+lobectomy+for+lung+cancer%3A+the+avoidance+of+pneumonectomy%5BTitle%5D)+AND+%22J+Thorac+Cardiovasc+Surg%22%5BJournal%5D)">Extended sleeve lobectomy for lung cancer: the avoidance of pneumonectomy.</a> J Thorac Cardiovasc Surg. 118 (4), 710-713 (1999).</li>
<li>Berthet, J. P., Paradela, M., Jimenez, M. J., Molins, L., Gómez-Caro, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Extended+sleeve+lobectomy%3A+one+more+step+toward+avoiding+pneumonectomy+in+centrally+located+lung+cancer%5BTitle%5D)+AND+%22Ann+Thorac+Surg%22%5BJournal%5D)">Extended sleeve lobectomy: one more step toward avoiding pneumonectomy in centrally located lung cancer.</a> Ann Thorac Surg. 96 (6), 1988-1997 (2013).</li>
<li>Chen, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Extended+sleeve+lobectomy+after+neoadjuvant+immunochemotherapy+for+centrally+located+non-small+cell+lung+cancer%5BTitle%5D)+AND+%22Ann+Thorac+Surg%22%5BJournal%5D)">Extended sleeve lobectomy after neoadjuvant immunochemotherapy for centrally located non-small cell lung cancer.</a> Ann Thorac Surg. 120 (4), 646-654 (2025).</li>
<li>Zhao, Z. R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Adjuvant+immunotherapy+does+not+improve+survival+in+non-small+cell+lung+cancer+with+major%2Fcomplete+pathologic+response+after+induction+immunotherapy%5BTitle%5D)+AND+%22J+Thorac+Cardiovasc+Surg%22%5BJournal%5D)">Adjuvant immunotherapy does not improve survival in non-small cell lung cancer with major/complete pathologic response after induction immunotherapy.</a> J Thorac Cardiovasc Surg. 169 (6), 1576-1584 (2025).</li>
<li>Cohen, C., Berthet, J. P. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Extended-sleeve+lobectomy%3A+a+technically+demanding+last-ditch+effort+in+lung+sparing+surgery+for+central+tumor%5BTitle%5D)+AND+%22J+Thorac+Dis%22%5BJournal%5D)">Extended-sleeve lobectomy: a technically demanding last-ditch effort in lung sparing surgery for central tumor.</a> J Thorac Dis. 10 (Suppl 18), S2211-S2214 (2018).</li>
</ol>

The authors have nothing to disclose.

ESL is a feasible procedure to avoid pneumonectomy in selected patients with centrally located NSCLCs. Thoracoscope can provide high-resolution visualization, hence may increase the chance of R0 resection by experienced surgeons. A previous study had suggested that ESL could be more valuable in patients with right-sided tumors. In a recent report by Chen et al., ESL offers a chance of complete resection for patients with poorer predicted postoperative respiratory function following neoadjuvant immunochemotherapy<sup clas...

Complete resection is crucial for oncological control of non-small-cell lung cancer (NSCLC). For patients with resectable NSCLCs, preoperative programmed death-1 (PD-1) inhibitor with chemotherapy can achieve a pathological complete response rate of 24% with a 5-year overall survival rate of 65.4%1,2. Though the perioperative immunotherapy that significantly changes the treatment paradigm of resectable NSCLC, nearly 10% of patients who received induction immunochemotherapy eventually required pneumonectomy to remove their tumors across phase III trials1,3,4,5.
For centrally located locally advanced NSCLC, sleeve lobectomy has been proven to be an efficient way to avoid pneumonectomy while achieving R0 resection. The extended sleeve lobectomy (ESL) technique, as described by Okada et al. in 1999, aims to provide a solution for tumors that require removal of parenchyma greater than an anatomic lobe6. The original report classifies such procedure into three subtypes; Namely, type A: anastomosis between right main and lower bronchi with resection of the upper plus middle lobes, type B: anastomosis between left main and basal segmental bronchi with resection of the upper lobe and superior segment of the lower lobe, and type C: anastomosis between left main and upper division bronchi with resection of the lingular segment and lower lobe. In 2013, an additional type D ESL, namely, anastomosis of the right main and upper lobe bronchi with resection of the middle plus lower lobes, was described7. As indicated by a recent study, ESL in patients with NSCLC who undergo neoadjuvant immunochemotherapy is feasible and has a superior event-free survival compared with those who received pneumonectomy8.
This paper aims to describe the detailed steps for conducting extended right middle plus lower lobe sleeve resection in patients with locally advanced NSCLC who received induction therapy.

<table><tbody><tr><td>Echelon Flex Endopath 60 mm Stapler</td><td>Ethicon</td><td>GST60T</td><td>Powered surgical stapler with gripping surface technology</td></tr><tr><td>Echelon Flex Vascular stapler</td><td>Ethicon</td><td>PVE35A</td><td>35 mm standard articulating endoscopic vascular linear cutter</td></tr><tr><td>Gold reload for Echelon 60</td><td>Ethicon</td><td>GST60D</td><td>Regular/thick tissue thickness, open staple height 3.8 mm, closed staple height 1.8 mm</td></tr><tr><td>Harmonic Advanced Hemostasis 45 cm</td><td>Ethicon</td><td>HAR745</td><td>Curved tip, energy sealing and dissecting, diameter 5 mm, length 45 cm</td></tr><tr><td>Hem-o-Lok Clips MLX</td><td>Weck Surgical Instruments, Teleflex Medical, Durham, NC</td><td>544230</td><td>Vascular clip 3-10 mm Size Range</td></tr><tr><td>Hem-o-Lok Polymer Ligation System</td><td>Weck Surgical Instruments, Teleflex Medical, Durham, NC</td><td>544965</td><td>non-absorbable polymer composition and flexible hinge</td></tr><tr><td>White reload for PVE35A</td><td>Ethicon</td><td>VASECR35</td><td>Vascular/thin tissue thickness, open staple height 2.5 mm, closed staple height 1.0 mm</td></tr></tbody></table>

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

Complete surgical resection is essential for resectable non-small-cell lung cancer. In selected patients who have received induction therapy, extended sleeve lobectomy (ESL) can obviate pneumonectomy while achieving R0 margins when central tumors cross inter-lobar boundaries. This study demonstrates the procedure of extended right middle plus lower lobe sleeve resection. 
Following three cycles of pembrolizumab plus platinum-doublet chemotherapy, a 57-year-old man with cT3N2M0 (IIIB) squamous cell carcinoma demonstrated radiological stability and persistent endobronchial invasion of the right secondary carina. A thoracoscopic extended right middle plus lower sleeve lobectomy was performed. First, the inferior and middle-lobe veins were stapled intra- and extra-pericardially. Subcarinal and ipsilateral paratracheal lymph nodes were dissected systematically. Radical removal of the middle and lower lobes was then achieved after temporary blockade of the right pulmonary artery and the superior pulmonary vein; hence, a safe dissection of the secondary carina can be performed. A "U"-shape portion of the right main bronchus was trimmed to adjust the appropriate size for bronchial anastomosis with the upper lobe bronchus, which was performed with a continuous suture. After leak-testing, the anastomotic site was covered by a free thymic fat flap. 
The duration of the surgery was 200 min with approximately 50 mL of blood loss. Bronchoscopy on postoperative day 6 confirmed an intact anastomosis. Histopathology revealed a 4 cm moderately differentiated squamous carcinoma with 1/31 positive nodes. Adjuvant PD-1 inhibitor monotherapy was given, and the patient remains under surveillance.

A 57-year-old man presented with mild hemoptysis at the outpatient clinic. On CT scan, a 4.6 cm hilar mass was found; a subsequent bronchoscopy confirmed squamous cell carcinoma with PD-L1 expression of 2% in the bronchus intermedius. The patient was diagnosed with cT3N2M0 IIIB lung cancer following PET and brain MRI scans. Three cycles of pembrolizumab plus platinum-based doublet chemotherapy were administered as induction therapy uneventfully. Stable disease (3.7 cm) was confirmed by the CT scan, and the bronchoscopy i...

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.

Complete surgical resection is essential for resectable non-small-cell lung cancer. In selected patients who have received induction therapy, extended ...

The video aims to demonstrate the procedures for thoracoscopic right middle plus lower sleeve lobectomy for non-small-cell lung cancer. Early advanced non-small-cell lung cancers of the central airway may require bronchial reconstruction. Preoperative evaluations begins with a bronchoscopy to confirm the diagnosis and bronchial invasion.Contrast enhanced CT scans is required to demonstrate the tumor and potential vascular involvement. Our patient was a 57-year-old man who presented with mild hemoptysis. He underwent a bronchoscopy and confirmed a squamous cell carcinoma in his bronchus intermedius.A T3N2 stage IIIB disease was confirmed by a subsequent PET scan. Three cycles of PD-1 inhibitor with chemotherapy were given as induction treatment. The tumor showed minimal response to the treatment and the proximal edge of the tumor still involved the second carina of the right side.For this reason, an extended sleeve resection was proceeded. Here you can find that the tumor nearly broken the bronchus intermedius and the image from the bronchoscopy clearly indicated the involvement of the secondary carina. The surgery was performed under loophole VATS approach.The inferior primary ligament was divided as long as the posterior mediastinal pleura. Fibrosis can be found in the higher region making it hard to dissect the subcarinal lymph node initially. The pericardium was dissected in a U-shape with a harmonic scalpel to facilitate the division of the pulmonary vein and the inferior pulmonary vein was then divided by a white cartilage with the endoscopic staple and the middle vein was dissected in a similar fashion.The subcarinal space can be dissected to expose the contralateral portion of the left main bronchus. The anterior mediastinal pleura was dissected later through the phrenic nerve and the anterior hilar lymph nodes was dissected below the arch in the whole package. The paratracheal lymph nodes were then dissected in the subaortic region and inverted vessels can be shielded under direct vision.The pleura was then winded alongside the superior vena cava up to the inferior border of the subclavian artery. The lymph nodes around this region were then removed en bloc. An endoscopic harmonic cam was used introduced from the third of the truncus anterior to the subcarinal space to control the pulmonary artery and the superior primary vein together.And the tonic takes that temporary brokes the vessels can be placed in the upper chest cavity during the surgery. Hook cautery can be used safely to identify the secondary carina. The upper lobe bronchus was divided first before the division of the right main bronchus and after cutting the bronchus, one can clearly visualize the tumor that invaded the secondary carina during this procedure.Now you can see the tumor broking the secondary carina. And by retracting the bronchus to the cranial side, the anterior part of the subcarinal lymph nodes can be dissected. The interlobar lymph nodes and their surrounding fibrotic tissues were dissected to extend the margin for upper lobe bronchus.And the subcarinal lymph nodes were then removed, facilitating the division of the remaining pulmonary artery and the horizontal fissure by a linear stapler with a gold cartilage. Middle lobe and lower lobes were then removed it in a specimen bag via the utility incision and extended bronchial margins from both the proximal and the distal bronchus were harvested and sent for frozen section to confirm an ideal resection. The aortic arch was retracted by a U-ring trail which was stitched to the posterior transfer to further expose the proximal airway.And to approximate the caliber of the right main bronchus, a portion of the cartilage membrane section was involving a U-shape and interrupted sutures was used to decrease the caliber of the proximal airway. The bronchus was reconstructed with a continuous running suture with 4-0 PDS. To minimize the chance of tangling one end of the trachea can be hung to the parietal pleura while suturing the anterior portion.Finally, the knot was tied gently in the cartilage portion. The setting irrigation test was then performed to confirm the integrity of the anastomosis. To finalize the operation, a free semi flap was obtained to cover and reinforce the anastomosis.The patient tolerated the procedure well and his postoperative course was without complication. The pathology report demonstrated a 4 cm squamous cell carcinoma with a residual viable tumor percentage of 80%The final staging was ypT2aN2aM0 stage IIIA disease. In this picture, you can find a good hearing of the anastomosis and the remaining right upper lobe is bent well according to the CT examination.To some, the VATS extended sleeve resection begins with proper patient selection and preoperative planning. Technique is essential to avoid pneumonectomy in certain patients. During the operation, caliber mismatch of the two ends of the bronchus can be found and occasionally proximal vascular control is also required.

thoracoscopic-extended-right-middle-plus-lower-sleeve-lobectomy-for

Research

JoVE Journal

Medicine

Presented here is a protocol for lung nodule localization using dye marking via electromagnetically navigated transthoracic needle access. The technique described here can be accomplished in the peri-operative period to optimize nodule localization and to successful resection when performing minimally invasive thoracic surgery.

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery

Here, we describe a step-by-step description of transhiatal esophagectomy and the development of a low-cost single-port device for a transcervical approach in a minimally invasive transhiatal esophagectomy.

Low-Cost Single-Port (LoCoSP) Device for a Transcervical Approach in Minimally Invasive Transhiatal Esophagectomy

This protocol describes the removal of lung specimens following a completely portal robotic lobectomy. Determining the optimal location for specimen extraction is a pertinent question, as both intercostal and subcostal routes can serve as potential extraction paths following robotic or video-thoracoscopic lobectomy. We choose subcostal lung specimen removal over intercostal removal.

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

This article aims to describe a stepwise approach to performing robotic-assisted bronchoscopy combined with fluoroscopy, radial endobronchial ultrasound, and cone beam computed tomography to obtain targeted transbronchial lung...

Robotic-assisted Bronchoscopy Combined with Multimodal Imaging for Targeted Lung Cryobiopsies

This protocol describes Surgical Trunk-oriented Laparoscopic Right Hemicolectomy (ST-LRH), a modified laparoscopic right hemicolectomy designed to optimize vascular management and lymph node dissection, simplify surgical procedures, and improve surgical safety and efficiency.

Surgical Trunk Oriented Laparoscopic Right Hemicolectomy (ST-LRH) for Right-Sided Colon Cancer

Here, we present a protocol for retrosternal thyroid goiter resection using a thoracoscopic-assisted transcervical approach.

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter

Intrahepatic cholangiocarcinoma of the caudate lobe is a challenge for many surgeons due to its unique location. Here, we present a protocol to show the step-by-step details of laparoscopic left hemihepatectomy combined with caudate lobe resection for cholangiocarcinoma.

Laparoscopic Left Hemihepatectomy Combined with Caudate Lobe Resection

This protocol describes a laparoscopic anatomical right anterior sectionectomy utilizing the Laennec capsule concept, combined with comprehensive preoperative therapy. The approach enables precise tumor resection in hepatocellular carcinoma (HCC) cases closely associated with major vascular structures, improving surgical safety, efficacy, and long-term patient outcomes.

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique

Robotic-assisted pneumonectomy is safe and effective in the management of Vanishing Lung Syndrome, with reduced morbidity and faster recovery times.

Robotic-assisted Left Pneumonectomy For Vanishing Lung Syndrome

Bronchial thermoplasty is a non-drug procedure for severe persistent asthma that delivers thermal energy to the airway wall in a precisely controlled manner to reduce excessive airway smooth muscle.  Reducing airway smooth muscle decreases the ability of the airways to constrict, thereby reducing the frequency of asthma attacks.

Bronchial Thermoplasty:  A Novel Therapeutic Approach to Severe Asthma

Learn thoracoscopic extended sleeve lobectomy for non-small-cell lung cancer using VATS. This minimally invasive technique preserves lung function while ensuring complete tumor resection through bronchial reconstruction.

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

Explore More Videos