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Sleeve resection of the bronchus and the pulmonary artery for pulmonary lesions

The Japanese journal of surgery volume 12, pages 311–320 (1982)Cite this article

Abstract

The tissue preserving resections for non-small-cell bronchial carcinoma can be grouped into three main categories: I. bronchoplastic procedures, II. angioplastic procedures, and III. concomitant broncho- and angioplastic procedures, and into the subgroups, standard and extended sleeve resection. The indications are; elderly patients, impaired respiratory reserve, limited tumour growth, and palliative surgery. The analysis of 229 cases yielded follow-up data in 192. The estimated 5 years survival rate was 34 per cent, 19 per cent and 14 per cent in categories I, II and III, respectively. The decrease in survival was due to a greater tumour burden. The operative mortality rate was 8.9 per cent in category I and 17 per cent in category III, such being comparable with standard or extended pneumonectomy, respectively. Surgical techniques and postoperative complications are discussed.

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Affiliations

  1. Clinic for Thoracic Medicine, Dept. of Thoracic surgery, Rohrbach Hospital, Amalienstrasse 5, 6900, Heidelberg, West Germany

    I. Vogt-Moykopf, H. Toomes & St. Heinrich

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  1. I. Vogt-Moykopf
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  2. H. Toomes
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  3. St. Heinrich
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Vogt-Moykopf, I., Toomes, H. & Heinrich, S. Sleeve resection of the bronchus and the pulmonary artery for pulmonary lesions. The Japanese Journal of Surgery 12, 311–320 (1982). https://doi.org/10.1007/BF02469629

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  • DOI: https://doi.org/10.1007/BF02469629

Key Words

  • bronchial carcinoma
  • bronchoplastic resection
  • angioplastic resection
  • sleeve resection
  • operative technique