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Mainstem bronchial sleeve resection with pulmonary preservation
R J Cerfolio1, C Deschamps, M S Allen
1Section of General Thoracic Surgery, Mayo Clinic, Rochester, MN 55905, USA.
The Annals of Thoracic Surgery
|May 1, 1996
Summary
Mainstem bronchial sleeve resection with lung preservation offers a safe and effective treatment for localized bronchial disease. This procedure demonstrates excellent symptom relief and long-term survival with minimal complications.
Area of Science:
- Thoracic Surgery
- Surgical Oncology
- Pulmonary Medicine
Background:
- Mainstem bronchial sleeve resection with pulmonary preservation is a viable option for localized mainstem bronchial disease.
- This study reviews the operative outcomes and long-term results of this procedure.
Purpose of the Study:
- To evaluate the operative morbidity, mortality, and long-term outcomes of mainstem bronchial sleeve resection.
- To assess the safety and efficacy of lung-sparing bronchial resection.
Main Methods:
- A retrospective review of 22 patients undergoing circumferential mainstem bronchial sleeve resection without parenchyma removal between 1965 and 1995.
- Indications included cancer (68%), benign stricture (23%), and broncholith (9%).
- Bronchoscopy and conventional tomography were used for diagnosis.
Main Results:
- No operative deaths occurred; 14% experienced postoperative complications.
- Median follow-up was 10.2 years, with 21 of 22 patients alive and asymptomatic.
- No cancer recurrence was observed.
Conclusions:
- Mainstem bronchial sleeve resection with lung preservation is a safe procedure in selected patients.
- It provides excellent symptom relief and good long-term survival.
- This lung-sparing approach is effective for treating mainstem bronchial conditions.