Procedure

Bronchial and pulmonary arterial sleeve resection

^a University of Rome ‘La Sapienza’, Ospedale Sant'Andrea, Division of Thoracic Surgery, Via di Grottarossa 1035, 00189 Rome, Italy
^b University of Rome, Division of Thoracic Surgery, Policlinico Umberto l, V.le del Policlinico 155, Rome, italy

^* Corresponding author: ^* Tel.: +39-06-8034 5633/5650/5773; fax: +39-06-8034 5003. E-mail: erinoangelo.rendina{at}tin.it

This chapter deals with the indications and techniques of resection and reconstruction of the bronchi and pulmonary artery associated with sleeve lobectomy for lung cancer. The techniques of bronchial suture are described in detail, and the indications and the various techniques of pulmonary artery reconstruction, such as sleeve resection and end-to-end anastomosis, or partial resection and patch reconstruction are described and evaluated comparatively. Finally, the results of sleeve resection are reported, and a review of the literature on the subject is presented.

Key Words: Lung cancer • Sleeve resection • Bronchial surgery • Pulmonary artery surgery