Bronchoplastic Procedures for Lung Cancer

Abstract

Bronchoplastic procedures for patients with lung cancer are designed to achieve radical cure with preservation of functioning lung parenchyma. A successful outcome of bronchoplasty with minimal risk requires a reliable technique for bronchial anastomosis and the confirmation of complete resection by intraoperative examination of frozen sections. Maintaining adequate blood flow with minimal tension at the site of anastomosis is essential for a good outcome. The indications for sleeve lobectomy overlap with those for pneumonectomy. Surgical outcome is therefore often compared between sleeve lobectomy and pneumonectomy, but the results of prospective controlled studies have yet to be reported. In this paper, we described a safe, reliable surgical technique for achieving good anastomosis, and compared the efficacy and safety of sleeve lobectomy with those of pneumonectomy through a review of the literature.