Bronchial and segmental bronchial sleeve resection in the treatment of lung cancer (report of 81 cases)

Background: To summarize the methods of bronchial sleeve resection in surgical treatment of 81 patients with pulmonary carcinoma during 1984-1999.

Methods: The mode of sleeve resection included sleeve resection of: right or left upper lobe in 33 cases, middle lobe in 6 cases, right or left lower lobe in 3 cases, middle lobewith parts of segmental bronchi of lower lobe in 5 cases, right upper lobewith parts of middle and basal segmental bronchi of lower lobe in 2 cases, left upper lobe with parts of basal segmental bronchi of lower lobe in 4 cases, left lower lobe with lingular segment in 5 cases, right or left dorsal segment of lower lobe in 8 cases, lingular segment in 2 cases, right or left main bronchusin 4 ( for patients with bronchial stenosis, without lobectomy) , right or left main bronchus plus upper and intermediate or lower lobe bronchus in 3 cases (without lobectomy) , intermediate bronchus with middle and lower lobe bronchus in 3 cases ( without lobectomy) , and double sleeve resection in 3 cases.

Results: There was neither operative mortality nor serious complication. Pulmonary atelectasis occurred in 4 cases ( 3 cases in segmental bronchial sleeve resection) , and fiberoptic bronchoscopy might been required.

Conclusions: Bronchial sleeve resection and segmental bronchial sleeve resection can be recommended for surgical treatment of bronchial tumors and traumatic bronchial rupture or stenosis. And it is important to choose the suitable mode according to the character and the location of the lesion.