Lung Cancer Surgery Part J: Bronchoplasty

Abstract

Although bronchoplasty for malignant lung lesions is common, bronchoplasty for benign lung lesions is relatively rare. Bronchoplasty is a parenchyma-saving operation in which a segment of main bronchus is removed in continuity with a lobe. Bronchoplastic procedures can be achieved by both two main bronchus and five major lobe bronchus. In all reported series, lesions in the hilum of the right upper lobe represent the most common indication for sleeve lobectomy. High-dose corticosteroid therapy, active bronchial inflammation, and prior high-dose irradiation are principal relative contraindications. Occasionally, sleeve resections can be indicated for patients with low respiratory capacity, a condition that contraindicates pneumonectomy. Local recurrence is low as long as the margins are free of disease. Sleeve lobectomy was strongly favored over pneumonectomy.