title: Single-incision video-assisted anatomical segmentectomy with handsewn bronchial closure for endobronchial lipoma.
abstract: Endobronchial lipomas are rare benign tumors whose symptoms are usually confused with recurrent infections or even asthma diagnosis, and mostly caused by endobronquial obstructive component which also conditions severity. We report a case of a 60-year-old man with a right-lower lobe upper-segment endobronchial myxoid tumor with uncertain diagnosis. We performed a single incision video-assisted anatomical segmentectomy and wedge bronchoplasty with handsewn closure to achieve complete resection and definitive diagnosis. During the postoperative air leak was not observed and there was no complication, with low pain scores and complete recovery. Final pathological exam showed endobronchial lipoma. Single-incision (SI) anatomical segmentectomies are lung-sparing resections for benign or low-grade malignancies with diagnostic and therapeutic value, and the need for a wedge bronchoplasty is not a necessary indication for conversion to multiport or open thoracotomy.
authors: Thoracic Surgery Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Carlos
authors: C
authors: Galvez
authors: Thoracic Surgery Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Julio
authors: J
authors: Sesma
authors: Thoracic Surgery Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Sergio
authors: S
authors: Bolufer
authors: Thoracic Surgery Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Francisco
authors: F
authors: Lirio
authors: Anesthesia and Surgical Critical Care Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Jose
authors: J
authors: Navarro-Martinez
authors: Anesthesia and Surgical Critical Care Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Maria
authors: M
authors: Galiana
authors: Thoracic Surgery Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Benno
authors: B
authors: Baschwitz
authors: Anesthesia and Surgical Critical Care Department, Hospital General Universitario Alicante, Alicante, Spain.
authors: Maria Jesus
authors: MJ
authors: Rivera
keywords: Video-assisted thoracoscopic surgery (VATS); bronchial neoplasms; pulmonary surgical procedure