Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach | Zendy

Sara Mantovani | Zendy; Lucile Gust | Zendy; Xavier Benoît D’Journo | Zendy; P. Thomas | Zendy

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Left main bronchial sleeve resection with total lung parenchymal preservation: a tailored surgical approach

Author(s) -

Sara Mantovani,

Lucile Gust,

Xavier Benoît D’Journo,

P. Thomas

Publication year - 2019

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezz300

Subject(s) - bronchus , medicine , thoracotomy , parenchyma , anastomosis , left main bronchus , surgery , resection , lung , pneumonectomy , left lung , right main bronchus , radiology , bronchoscopy , respiratory disease , pathology

Bronchial sleeve resection is an uncommon thoracic surgical procedure. Under specific conditions, patients can be selected to undergo a sleeve resection of the main bronchus with complete parenchymal preservation. The left main bronchus is longer than the contralateral bronchus, therefore left endobronchial tumours can be localized at the proximal end of the bronchus or distally, near the secondary carina. Bronchial anastomosis in these 2 situations requires different approaches. We present the surgical technique of left main bronchus resection with complete preservation of lung parenchyma through a hemi-clamshell incision (proximal tumour) or posterolateral thoracotomy (distal tumour).

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