Bronchovascular Sleeve Resection

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Lung cancer is the most common cancer in males and second most common cancer in females in the United States. Lung cancer is the number one cause of cancer-related deaths in males and females in the United States. Treatment options include surgery, chemotherapy, and radiotherapy, depending on the stage of the lung cancer.

After the introduction of pneumonectomy in 1895 by William Macewen, a number of options for surgical treatment of lung cancer have been introduced. Sleeve resection was first introduced in 1947 by Prince-Thomas. ^[1] Allison in 1959 reported first sleeve lobectomy with pulmonary artery construction. Sleeve lobectomy was considered inferior to pneumonectomy, but work by Ferugson et al and Deslauriers et al showed that sleeve lobectomy has better outcome and lower morbidity and mortality as compared to pneumonectomy. ^{[2, 3]}

See the list below:

Tumor invading/protruding main stem bronchus

As an alternative to pneumonectomy in patients with poor cardiopulmonary reserve

Endobronchial bronchogenic carcinoma

Carcinoid tumors and low-grade malignancy like bronchial gland carcinomas if complete resection can be obtained

See the list below:

Complete resection of tumor not achievable by bronchovascular sleeve resection

N2 disease (a relative contraindication)

Price-Thomas C. Conservative resection of the bronchial tree. J R Coll Surg Edinb. 1:169-186.

Ferguson MK, Lehman AG. Sleeve lobectomy or pneumonectomy: optimal management strategy using decision analysis techniques. Ann Thorac Surg. 2003. 76:1782-8. [Medline].

Deslauriers J, Grégoire J, Jacques LF, Piraux M, Guojin L, Lacasse Y. Sleeve lobectomy versus pneumonectomy for lung cancer: a comparative analysis of survival and sites or recurrences. Ann Thorac Surg. 2004. 77:1152-6. [Medline].

Ahmet Sami Bayram, Mehmet Muharrem Erol, Hakan Salcı, O¨ zgu¨r O¨ zyig˘it, Sacit Go¨rgu¨l, Cengiz Gebitekin. Basic interrupted versus continuous suturing techniques in bronchial anastomosis following sleeve lobectomy in dogs. Eur J Cardiothorac Surg. 2007. 32:852-4. [Medline].

Suen HC, Meyers BF, Guthrie T, Pohl MS, Sundaresan S, Roper CL, et al. Favorable results after sleeve lobectomy or bronchoplasty for bronchial malignancies. Ann Thorac Surg. 1999 Jun. 67(6):1557-62. [Medline].

Takeda S, Maeda H, Koma M, Matsubara Y, Sawabata N, Inoue M, et al. Comparison of surgical results after pneumonectomy and sleeve lobectomy for non-small cell lung cancer: trends over time and 20-year institutional experience. Eur J Cardiothorac Surg. 2006 Mar. 29(3):276-80. [Medline].

Mentzer SJ, Myers DW, Sugarbaker DJ. Sleeve lobectomy, segmentectomy, and thoracoscopy in the management of carcinoma of the lung. Chest. 1993 Apr. 103(4 Suppl):415S-417S. [Medline].

Ludwig C, Stoelben E, Olschewski M, Hasse J. Comparison of morbidity, 30-day mortality, and long-term survival after pneumonectomy and sleeve lobectomy for non-small cell lung carcinoma. Ann Thorac Surg. 2005 Mar. 79(3):968-73. [Medline].

Martin-Ucar AE, Chaudhuri N, Edwards JG, Waller DA. Can pneumonectomy for non-small cell lung cancer be avoided? An audit of parenchymal sparing lung surgery. Eur J Cardiothorac Surg. 2002 Apr. 21(4):601-5. [Medline].

Asamura H, Naruke T, Tsuchiya R, Goya T, Kondo H, Suemasu K. Bronchopleural fistulas associated with lung cancer operations. Univariate and multivariate analysis of risk factors, management, and outcome. J Thorac Cardiovasc Surg. 1992 Nov. 104(5):1456-64. [Medline].

Puskas JD, Mathisen DJ, Grillo HC, Wain JC, Wright CD, Moncure AC. Treatment strategies for bronchopleural fistula. J Thorac Cardiovasc Surg. 1995 May. 109(5):989-95; discussion 995-6. [Medline].

Kawahara K, Akamine S, Takahashi T, Nakamura A, Muraoka M, Tsuji H, et al. Management of anastomotic complications after sleeve lobectomy for lung cancer. Ann Thorac Surg. 1994 Jun. 57(6):1529-32; discussion 1532-3. [Medline].

Tedder M, Anstadt MP, Tedder SD, Lowe JE. Current morbidity, mortality, and survival after bronchoplastic procedures for malignancy. Ann Thorac Surg. 1992 Aug. 54(2):387-91. [Medline].

Weisel RD, Cooper JD, Delarue NC, Theman TE, Todd TR, Pearson FG. Sleeve lobectomy for carcinoma of the lung. J Thorac Cardiovasc Surg. 1979 Dec. 78(6):839-49. [Medline].

Icard P, Regnard JF, Guibert L, Magdeleinat P, Jauffret B, Levasseur P. Survival and prognostic factors in patients undergoing parenchymal saving bronchoplastic operation for primary lung cancer: a series of 110 consecutive cases. Eur J Cardiothorac Surg. 1999 Apr. 15(4):426-32. [Medline].

Firmin RK, Azariades M, Lennox SC, Lincoln JC, Paneth M. Sleeve lobectomy (lobectomy and bronchoplasty) for bronchial carcinoma. Ann Thorac Surg. 1983 Apr. 35(4):442-9. [Medline].

Watanabe Y, Shimizu J, Oda M, Hayashi Y, Watanabe S, Yazaki U, et al. Results in 104 patients undergoing bronchoplastic procedures for bronchial lesions. Ann Thorac Surg. 1990 Oct. 50(4):607-14. [Medline].

Faber LP, Jensik RJ, Kittle CF. Results of sleeve lobectomy for bronchogenic carcinoma in 101 patients. Ann Thorac Surg. 1984 Apr. 37(4):279-85. [Medline].

Tsang V, Goldstraw P. Endobronchial stenting for anastomotic stenosis after sleeve resection. Ann Thorac Surg. 1989 Oct. 48(4):568-71. [Medline].

Vogt-Moykopf I, Fritz T, Meyer G, Bülzerbruck H, Daskos G. Bronchoplastic and angioplastic operation in bronchial carcinoma: long-term results of a retrospective analysis from 1973 to 1983. Int Surg. 1986 Oct-Dec. 71(4):211-20. [Medline].

Lausberg HF, Graeter TP, Tscholl D, Wendler O, Schäfers HJ. Bronchovascular versus bronchial sleeve resection for central lung tumors. Ann Thorac Surg. 2005 Apr. 79(4):1147-52; discussion 1147-52. [Medline].

Yin R, Xu L, Ren B, Jiang F, Fan X, Zhang Z, et al. Clinical experience of lobectomy with pulmonary artery reconstruction for central non-small-cell lung cancer. Clin Lung Cancer. 2010 Mar 1. 11(2):120-5. [Medline].

Bölükbas S, Bergmann T, Fisseler-Eckhoff A, Schirren J. Short- and long-term outcome of sleeve resections in the elderly. Eur J Cardiothorac Surg. 2010 Jan. 37(1):30-5. [Medline].

Kutlu CA, Goldstraw P. Tracheobronchial sleeve resection with the use of a continuous anastomosis: results of one hundred consecutive cases. J Thorac Cardiovasc Surg. 1999 Jun. 117(6):1112-7. [Medline].

Newton JR Jr, Grillo HC, Mathisen DJ. Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg. 1991. 52:1272-80. [Medline].

Rendina EA, Venuta F, De Giacomo T, Flaishman I, Fazi P, Ricci C. Safety and efficacy of bronchovascular reconstruction after induction chemotherapy for lung cancer. J Thorac Cardiovasc Surg. 1997 Nov. 114(5):830-5; discussion 835-7. [Medline].

Schirren J, Eberlein M, Fischer A, Bölükbas S. The role of sleeve resections in advanced nodal disease. Eur J Cardiothorac Surg. 2011 Nov. 40(5):1157-63. [Medline].

Setu K Patolia, MD, MPH Assistant Professor of Internal Medicine, Division of Pulmonary, Critical Care and Sleep Medicine, Director of Interventional Pulmonary Services, Associate Program Director for Pulmonary and Critical Care Fellowship, St Louis University School of Medicine

Setu K Patolia, MD, MPH is a member of the following medical societies: American Association for Bronchology and Interventional Pulmonology, American College of Chest Physicians, American Thoracic Society, Society of Critical Care Medicine

Disclosure: Nothing to disclose.

M Frances J Schmidt, MD Chief of Pulmonary Medicine, Pulmonary Fellowship Program, Teaching Attending Physician, Department of Medicine, Interfaith Medical Center

M Frances J Schmidt, MD is a member of the following medical societies: American College of Chest Physicians, American College of Physicians

Disclosure: Nothing to disclose.

Zab Mosenifar, MD, FACP, FCCP Geri and Richard Brawerman Chair in Pulmonary and Critical Care Medicine, Professor and Executive Vice Chairman, Department of Medicine, Medical Director, Women’s Guild Lung Institute, Cedars Sinai Medical Center, University of California, Los Angeles, David Geffen School of Medicine

Zab Mosenifar, MD, FACP, FCCP is a member of the following medical societies: American College of Chest Physicians, American College of Physicians, American Federation for Medical Research, American Thoracic Society

Disclosure: Nothing to disclose.

Dr A. Ketosugbo (Interfaith Medical Center)

Bronchovascular Sleeve Resection

Research & References of Bronchovascular Sleeve Resection|A&C Accounting And Tax Services
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