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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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Last updated: August 14, 2024