The Twelve Steps to a Thoracoscopic S3 Segmentectomy: Oncologically Safe and Sound

Carcinoid tumors of the lung as well as central pulmonary metastases represent a group of tumors that can be challenging to manage in patients with marginal pulmonary function. In these cases, lobar anatomic pulmonary resection may leave patients with significantly decreased pulmonary function and quality of life.1-3 In contrast, a wedge resection may not be achievable due to central location of the tumor and may be oncologically suboptimal without a complete lymph node dissection and/or in cases of atypical carcinoid histology.