We describe a sleeve resection in an 18-year-old patient with body mass index of 62.5. A 2.1 centimeter typical carcinoid tumor was identified in the distal left main stem bronchus, originating from the origin of the left upper lobe bronchus. The robotic chassis was positioned in oblique fashion cephalad and the ports were placed with a view at the lowest inferior portion of the fissure. Lysis of adhesions was performed thoracoscopically prior to docking the robot. The robot was positioned; the hilum was dissected under 15 mmHg CO. Wide resection of the left upper lobe and adjacent tissues achieved negative margin, confirmed by intra-operative frozen section and later by permanent section. The anastomosis was performed between the left main stem bronchus and the left lower lobe using interrupted sutures. The anastomosis was buttressed with a pericardial thymic fat pad. Intra-operative and post-operative bronchoscopy revealed a widely patent anastomosis. The procedure took thirteen hours with estimated 400 mL blood loss. The patient was discharged 14 days post-op. Final pathology demonstrated five resected nodes, two positive for tumor. There was no readmission for 90 days; he returned to his normal preoperative status within ten weeks. Imaging revealed no evidence of recurrence at one year.