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Review
. 2016 Nov;8(Suppl 11):S872-S881.
doi: 10.21037/jtd.2016.06.48.

Bronchial and arterial sleeve resection for centrally-located lung cancers

Giulio Maurizi  1 , Antonio D'Andrilli  1 , Federico Venuta  2 , Erino Angelo Rendina  3
Affiliations
Review

Bronchial and arterial sleeve resection for centrally-located lung cancers

Giulio Maurizi et al. J Thorac Dis. 2016 Nov.

Abstract

The use of bronchial and arterial sleeve resections for the treatment of centrally-located lung cancers, when available, has become the option of choice in comparison with pneumonectomy (PN). Technical expertise, in particular in vascular reconstruction, and perioperative management improved over time allowing excellent short-term and long-term results. This is even truer if considering literature data from the main experiences published in the last years. These evidences have given to such lung sparing reconstructive procedures more and more acceptance among the surgical community. This article focuses on the main technical aspects and literature data regarding bronchovascular sleeve resections.

Keywords: Sleeve lobectomy; lung cancer; pulmonary artery reconstruction.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Indication for sleeve lobectomy, CT scan images. The tumor infiltrates both the bronchus and the pulmonary artery on the left side. CT, computed tomography.
Figure 2
Figure 2
Intraoperative picture of double left upper sleeve lobectomy. Dissection and resection phases are completed.
Figure 3
Figure 3
Intraoperative view illustrating completed right bronchial and pulmonary artery reconstruction.
Figure 4
Figure 4
Pulmonary artery conduit reconstruction on the left side. After vascular sleeve resection the PA is reconstructed by autologous pulmonary vein conduit. (A) Distal anastomosis with 5-0 non-absorbable running suture; proximal anastomosis is completed; (B) anastomotic suture has been completed but still untied. PA, pulmonary artery.
See this image and copyright information in PMC

References

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