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

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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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Authors and 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

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