Bronchial sleeve resections: lung function resurrecting procedure

Bagan, Patrick; Le Pimpec-Barthes, Françoise; Badia, Alain; Crockett, Flora; Dujon, Antoine; Riquet, Marc
September 2008
European Journal of Cardio-Thoracic Surgery;Sep2008, Vol. 34 Issue 3, p484
Academic Journal
Abstract: Objective: Mainstem bronchus obstruction results in lung function exclusion. The aim of this study was to revisit lung function restoration obtained by different types of bronchial sleeve resections in selected patients with endobronchial tumors. Methods: Eleven patients (9 women and 2 men, mean age 47 years) presented with endobronchial tumors and ipsilateral lung function exclusion. Mainstem bronchial sleeve resection was performed in 7 patients, right bilobar and mainstem bronchial sleeve resection in 2, and left upper sleeve lobectomy in 2. Tumors consisted in 8 bronchial carcinoids, 2 adenoid cystic carcinomas, and one inflammatory myofibroblastic tumor. Fiberoptic bronchoscopy and quantitative ventilation–perfusion lung scan were performed in all patients at work-up to assess lung function exclusion and during the first year following bronchoplastic procedure to study recovery. Long-term follow-up consisted of physical examination, thoracic computed tomographic scan and bronchoscopy every year. Results: There was no postoperative death. The long-term follow-up was complete and ranged from 12 to 192 months (median: 102.7 months). The lung function was completely restored in all patients. The ventilation function was immediate, but the perfusion was restored in a mean interval of 8.2 months (ranging from 3 to 12 months). All patients are currently alive, and no local tumor recurrence was observed. Conclusions: Some obstructing tumors may be removed by various types of bronchial sleeve resections that permit lung function restoration and long-term local control of the disease. However, at least one year is required for lung perfusion to completely recover, despite immediate ventilation restoration.


Related Articles

  • Additional pulmonary resections after pneumonectomy: actual long-term survival and functional results. Grodzki, Tomasz; Alchimowicz, Jacek; Kozak, Anna; Kubisa, Bartosz; Pieróg, Jarosław; Wójcik, Janusz; Bielewicz, Michał; Witkowska, Dominika // European Journal of Cardio-Thoracic Surgery;Sep2008, Vol. 34 Issue 3, p493 

    Abstract: Objective: Pulmonary resections after pneumonectomy due to metastases or metachronous non-small cell lung cancer (NSCLC) are rare because of the high potential risk of the second procedure and uncertain long-term results. On the basis of our series (largest in Europe) we tried to...

  • The role of autofluorescence bronchoscopy in monitoring a tumorous lesion in the bronchial mucosa: a case report. Škrbić, Dušan; Stojanović, Goran; Považan, Djordje; Djurić, Mirna; Eri, Živka // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Jun2012, Vol. 69 Issue 6, p531 

    Introduction. Autofluorescence bronchoscopy (AFB) is a diagnostic procedure that is included in all diagnostic algorithms discovering precancerous lesions in the large airways. Case report. We presented a 71-year-old patient submitted to exploration due to prolonged cough. Both noninvasive and...

  • Optical Detection of Preneoplastic Lesions of the Central Airways. van der Leest, C.; Amelink, A.; van Klaveren, R. J.; Hoogsteden, H. C.; Sterenborg, H. J. C. M.; Aerts, J. G. J. V. // ISRN Oncology;2012, p1 

    Current routine diagnosis of premalignant lesions of the central airways is hampered due to a limited sensitivity (white light bronchoscopy) and resolution (computer tomography (CT), positron emission tomography (PET)) of currently used techniques. To improve the detection of these subtle...

  • Bronchoscopy.  // Thorax;Dec2004 Supplement, Vol. 59, p64 

    The article presents some papers related to bronchoscopy. The British Thoracic Society guidelines for radiologically guided lung biopsy state that patients with lesions on the chest radiograph that require a diagnosis should be discussed by a respiratory physician and a radiologist as a minimum....

  • In vivo imaging of the airway wall in asthma: fibered confocal fluorescence microscopy in relation to histology and lung function. Ching Yong Yick; von der Thüsen, Jan H.; Bel, Elisabeth H.; Sterk, Peter J.; Kunst, Peter W. // Respiratory Research;Jun2011, Vol. 12 Issue 6, p1 

    Background: Airway remodelling is a feature of asthma including fragmentation of elastic fibres observed in the superficial elastin network of the airway wall. Fibered confocal fluorescence microscopy (FCFM) is a new and noninvasive imaging technique performed during bronchoscopy that may...

  • Left and Right Lung Asynchrony as a Physiological Indicator for Unilateral Bronchial Obstruction in Interventional Bronchoscopy. Mineshita, Masamichi; Kida, Hirotaka; Nishine, Hiroki; Handa, Hiroshi; Inoue, Takeo; Miyazawa, Teruomi // PLoS ONE;Aug2014, Vol. 9 Issue 8, p1 

    Background: In patients with bronchial obstruction, pulmonary function tests may not change significantly after intervention. The airflow asynchrony in both lungs due to unilateral bronchial obstruction may be applicable as a physiological indicator. The airflow asynchrony is reflected by the...

  • CyberKnife for hilar lung tumors: report of clinical response and toxicity. Unger, Keith; Ju, Andrew; Oermann, Eric; Simeng Suy; Xia Yu; Vahdat, Saloomeh; Subramaniam, Deepa; Harter, K William; Collins, Sean P.; Dritschilo, Anatoly; Anderson, Eric; Collins, Brian T. // Journal of Hematology & Oncology;2010, Vol. 3, p39 

    Objective: To report clinical efficacy and toxicity of fractionated CyberKnife radiosurgery for the treatment of hilar lung tumors. Methods: Patients presenting with primary and metastatic hilar lung tumors, treated using the CyberKnife system with Synchrony fiducial tracking technology, were...

  • Pattern of Pulmonary Function Test Abnormalities in Anthracofibrosis of the Lungs. Mirsadraee, Majid; Asnaashari, Amir; Attaran, Davood // Tanaffos;2012, Vol. 11 Issue 2, p34 

    Background: The objective of this study was to discuss the spirometric characteristics of anthracofibrosis which is a from of bronchial anthracosis associated with deformity. Materials and Methods: Forty anthracofibrosis subjects who were diagnosed with bronchoscopy were enrolled in this...

  • Pulmonary renal syndrome in a child with coexistence of anti-neutrophil cytoplasmic antibodies and anti-glomerular basement membrane disease: case report and literature review. Bogdanović, Radovan; Minić, Predrag; Marković-Lipkovski, Jasmina; Stajić, Nataša; Savić, Nataša; Rodić, Milan // BMC Nephrology;2013, Vol. 14 Issue 1, p1 

    Background: Pulmonary renal syndrome (PRS), denoting the presence of diffuse alveolar hemorrhage and glomerulonephritis as manifestations of systemic autoimmune disease, is very rare in childhood. The coexistence of circulating anti-neutrophil cytoplasmic antibody (ANCA) and anti-glomerular...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics