Robotic left transthoracic left main bronchial sleeve resection with preoperative three-dimensional planning

Robotic left main bronchial sleeve resection for endobronchial tumors avoids pneumonectomy while preserving the entire ipsilateral lung parenchyma. Preoperative three-dimensional computed tomography reconstruction guides dissection around the pulmonary artery, pulmonary veins, and left atrium, and Firefly fluorescence imaging enables precise intraoperative tumor localization without needle puncture. We hereby describe a patient with a typical carcinoid tumor of the left main bronchus, who successfully underwent a minimally invasive lung -preserving operation to achieve negative surgical margins via a left transthoracic approach.