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Lung-Sparing Pulmonary Resections: Bronchoplastic/Sleeve Resection

  • Philip M. Hartigan
Chapter

Abstract

Lesions involving or encroaching upon main bronchi preclude clean resection by traditional lobectomy. Options for complete resection then include proximal mainstem transection (pneumonectomy or bilobectomy), or a bronchoplastic resection vs. sleeve resection with preservation of distal parenchyma. There is confusion and inconsistency in the terminology of such parenchymal-sparing techniques.

Keywords

Bronchoplastic resection Sleeve resection Sleeve lobectomy Lung isolation One-lung ventilation Anastomosis phase 

Further Suggested Reading

  1. Murthy S. Sleeve resection/bronchoplasty for lung cancer. Chapter 66. In: Sugarbaker DJ et al., editors. Adult chest surgery. New York: McGraw-Hill Medical; 2009. p. 567–74.Google Scholar
  2. Ng JM. Hypoxemia during one-lung ventilation: jet ventilation of the middle and lower lobes during right upper lobe sleeve resection. Anesth Analg. 2005;101(5):1554–5.PubMedCrossRefGoogle Scholar
  3. Newton JR, Grillo HC, Mathison DJ. Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg. 1991;52(6):1272–80.PubMedCrossRefGoogle Scholar
  4. Hess DR, Gillette MA. Tracheal gas insufflation and related techniques to introduce gas flow to the trachea. Respir Care. 2001;46(2):119–29.PubMedGoogle Scholar
  5. Murakami S, Watanabe Y, Kobayashi H. High frequency jet ventilation in tracheobronchoplasty. An experimental study. Scand J Thorac Cardiovasc Surg. 1994;28(1):31–6.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Philip M. Hartigan
    • 1
  1. 1.Division of Thoracic Anaesthesia Department of AnaesthesiologyPerioperative and Pain Medicine, Brigham and Women’s HospitalBostonUSA

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