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Related Experiment Videos

Bronchial sleeve resection with and without pulmonary resection.

W H Frist, D J Mathisen, A D Hilgenberg

    The Journal of Thoracic and Cardiovascular Surgery
    |March 1, 1987
    PubMed
    Summary

    Sleeve resection is a safe and effective treatment for various endobronchial lesions. This surgical technique offers excellent outcomes for benign tumors and selected lung cancers, with high survival rates.

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    Area of Science:

    • Thoracic Surgery
    • Surgical Oncology
    • Pulmonology

    Background:

    • Endobronchial lesions encompass a spectrum from benign tumors to bronchogenic carcinoma.
    • Sleeve resection is a complex surgical technique involving the removal of a section of the bronchus with or without lung parenchyma.
    • The safety and efficacy of sleeve resection for diverse endobronchial pathologies require ongoing evaluation.

    Purpose of the Study:

    • To evaluate the safety and effectiveness of sleeve resection for a wide range of endobronchial lesions.
    • To assess the oncologic outcomes and quality of life following sleeve resection.
    • To determine the applicability of sleeve resection for lesions not requiring concomitant pulmonary resection.

    Main Methods:

    • Retrospective review of 64 sleeve resection procedures performed between 1962 and 1986.

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  • Procedures included 47 with concomitant pulmonary resection and 17 without.
  • Analysis of patient demographics, disease types, mortality rates, survival data, and quality of life.

    • Main Results:

    • A 30-day mortality rate of 4.7% was observed across all procedures.
    • Disease-free survival was 100% at 5 years for patients with benign tumors, low-grade malignancies, and bronchostenosis.
    • Five-year survival rates for bronchogenic carcinoma varied by stage: Stage I (58%), Stage II (69%), and Stage III (38%).

    Conclusions:

    • Sleeve resection is a safe and effective treatment for benign endobronchial tumors, bronchostenosis, low-grade malignant neoplasms, and selected lung cancers.
    • The technique is particularly valuable for lesions not necessitating pulmonary resection.
    • Excellent quality of life and long-term survival can be achieved with appropriate patient selection.