Sleeve Resection of the Bronchus and Pulmonary Artery for Pulmonary Lesions

Summary

The tissue preserving resections for non-small-cell bronchial Carcinoma were grouped into 3 main categories: I. bronchoplastic procedures, ll angioplastic procedures, and III. concomitant bronchoplastic and angioplastic procedures, and into the subgroups of Standard and extended sleeve resections. The indications were: elderly patients, impaired respiratory reserve, limited tumor growth, and palliative surgery. The analysis of 229 cases yielded follow-up data in 192 cases. The estimated 5-year survival rates were 34% in category I,19% in II, and 14% in III. The decreasing survival is due to greater tumor bürden. The operative mortality rate was 8.9% in category I, and 17 % in category III, and therefore comparable with Standard or extended pneumonectomy respectively. Surgical techniques and postoperative complications are discussed.

Key words

Bronchial Carcinoma - Bronchoplastic resection - Angioplastic resection - Sleeve resection - Operative technique - Complications after sleeve resection