Bronchoplasty

Stephen D. Dingley, DO, Meredith A. Harrison, MD, William R. Burfeind, MD

Key Points

A bronchoplastic procedure is a general term for a reconstructive technique of the bronchial lumen. It may be employed as part of a parenchymal-sparing operation in which a segment of bronchus is resected with diseased tissue and the remaining airway is anastomosed: a sleeve resection. It should be considered in any patient, regardless of pulmonary function and ability to tolerate a pneumonectomy, with a central tumor that can be completely resected in this manner. Sleeve resection provides at least an equivalent oncological outcome compared to pneumonectomy without additional morbidity. Bronchoplastic procedures can safely be performed after neoadjuvant therapy without increased risk of complication. Major, potentially lethal complications including bronchovascular and bronchopleural fistula are fortunately rare and occur at a rate less than 1%.

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