Abstract
Lesions involving or encroaching upon main bronchi preclude clean resection by traditional lobectomy. Options for complete resection then include proximal mainstem transection (pneumonectomy or bilobectomy), or a bronchoplastic resection vs. sleeve resection with preservation of distal parenchyma. There is confusion and inconsistency in the terminology of such parenchymal-sparing techniques.
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Further Suggested Reading
Murthy S. Sleeve resection/bronchoplasty for lung cancer. Chapter 66. In: Sugarbaker DJ et al., editors. Adult chest surgery. New York: McGraw-Hill Medical; 2009. p. 567–74.
Ng JM. Hypoxemia during one-lung ventilation: jet ventilation of the middle and lower lobes during right upper lobe sleeve resection. Anesth Analg. 2005;101(5):1554–5.
Newton JR, Grillo HC, Mathison DJ. Main bronchial sleeve resection with pulmonary conservation. Ann Thorac Surg. 1991;52(6):1272–80.
Hess DR, Gillette MA. Tracheal gas insufflation and related techniques to introduce gas flow to the trachea. Respir Care. 2001;46(2):119–29.
Murakami S, Watanabe Y, Kobayashi H. High frequency jet ventilation in tracheobronchoplasty. An experimental study. Scand J Thorac Cardiovasc Surg. 1994;28(1):31–6.
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Hartigan, P.M. (2012). Lung-Sparing Pulmonary Resections: Bronchoplastic/Sleeve Resection. In: Hartigan, P. (eds) Practical Handbook of Thoracic Anesthesia. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-88493-6_21
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DOI: https://doi.org/10.1007/978-0-387-88493-6_21
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