Prospective Study on Perioperative Risks and Functional Results in Bronchial and Bronchovascular Sleeve Resections

Abstract

In the hands of experienced surgeons bronchial and bronchovascular sleeve resections are safe operations for high-risk patients. There is no statistical significance between N1 and N2 disease with regard to long-term survival. Systematic lymph node dissection does not lead to increased perioperative risk. Sleeve resections have little effect on pulmonary function. Preoperative FEV (1) and lung perfusion can be achieved by 6 months after surgery.

Determining the appropriate sleeve lobectomy versus pneumonectomy ratio in central non-small cell lung cancer patients: an audit of an aggressive policy of pneumonectomy avoidance

“…In our series, this type is also the most frequent, but with only about 50% of cases. The explanation may be found in the increased number of SL in other locations, particularly the left upper SL (LUSL), frequently with associated arterial reconstruction [10,12,18,19].…”

Short- and long-term outcome of sleeve resections in the elderly☆

“…Van Schil et al noted significant differences between patients with N0 and N1 or N2 disease, but not between N1 and N2 involvement [21]. In the recent published series of Schirren et al, long-term survival varied between N0 and N1 status ( p = 0.027) and N0 and N2 status ( p = 0.029), but not between N1 and N2 status ( p = 0.75) [22]. Furthermore, Bölükbas et al showed that long-term survival was also not affected by nodal status ( p = 0.38) in 157 elderly patients with NSCLC who underwent pulmonary resection [13].…”

Surgery for nonsmall cell lung cancer

“…Many studies have now clearly shown that, when feasible, sleeve resections are valid alternatives to pneumonectomy as they result in lower perioperative mortality and better mid-term survival with excellent long-term outcomes [44][45][46]. Sleeve resections can involve the bronchial tree only or the ipsilateral pulmonary artery as well (''double sleeve or bronchovascular resection'') [45,47].…”

“…Sleeve resections can involve the bronchial tree only or the ipsilateral pulmonary artery as well (''double sleeve or bronchovascular resection'') [45,47]. The perioperative mortality has been reported as 1.5-4% at most institutions.…”