A 51-year-old nonsmoking female presented with recurrent pneumonia and a persistent cough. A chest computed tomography (CT) demonstrated an obstructive lesion in the left lower lobe bronchus with hyperinflation of the lower lobe. Positron emission tomography (PET)/CT revealed increased metabolic uptake at the lesion site, without evidence of distant metastasis. Bronchoscopic biopsy indicated a neuroendocrine tumor. Further somatostatin receptor PET imaging confirmed no distal or lymph node metastases. 

Based on these findings, the patient was scheduled for a parenchyma-sparing robotic left lower lobe bronchial sleeve resection with end-to-end anastomosis. The six-month follow-up CT scan demonstrated a perfectly healed, patented airway. 

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