Cancer Management and Research (Dec 2020)

Bronchial Sleeve Resection with Complete Pulmonary Preservation: A Single-Center Experience

  • Duan J,
  • Cai H,
  • Huang W,
  • Lin L,
  • Wu L,
  • Fan J

Journal volume & issue
Vol. Volume 12
pp. 12975 – 12982

Abstract

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Jiangnan Duan,1,* Haomin Cai,1,* Wei Huang,1,* Lin Lin,2 Liang Wu,1 Jiang Fan1 1Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Shanghai, People’s Republic of China; 2School of Medicine, Tongji University, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Liang Wu; Jiang Fan Department of Thoracic SurgeryShanghai Pulmonary Hospital, Shanghai, People’s Republic of ChinaEmail [email protected]; [email protected]: Bronchial sleeve resection with complete pulmonary preservation (BSRCPP) is a classic surgical method for the treatment of benign or low-grade bronchial tumors. For elderly patients and patients with poor cardiopulmonary function, BSRCPP is particularly advantageous because some of these patients may not tolerate lobectomy or pneumonectomy. We retrospectively reviewed the clinical data of 20 patients who underwent BSRCPP during the past 7 years. This report presents the experience with BSRCPP in our department.Patients and Methods: We collected the data of 20 patients who underwent BSRCPP. Of these 20 patients, 17 underwent thoracotomy and 3 underwent video-assisted thoracoscopic surgery (VATS). The study cohort comprised 7 male and 13 female patients with an average age of 44 years (range, 4– 71 years). All patients underwent a systematic preoperative examination to confirm the surgical indications and methods. Regular follow-up was conducted after the operation.Results: All patients survived and remained clinically well. Two of the 20 patients (10%) were re-admitted to the hospital because of pulmonary air leakage, which was resolved after thoracic drainage. No patients developed tumor recurrence.Conclusion: BSRCPP may be an effective treatment for selected patients with bronchial tumors. Notably, however, many technical key points require improvement, especially in VATS. Therefore, thoracoscopic minimally invasive treatment requires more practice and exploration.Keywords: sleeve lobectomy, BSRCPP, VATS, thoracotomy

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