PURPOSE: Conservation of lung tissue is very important in the management of patients undergoing tracheobronchial surgery. Bronchial sleeve resection is a technically demanding procedure which we have done successfully.
METHODS: A total of 12 patients underwent bronchial sleeve resection from the year of 1990 to 2006 in Santosham Chest Hospital Chennai, India. Among the 12 cases bronchial tumors were 6. Among the bronchial tumors 2 cases were carcinoid tumor, 2 cases were adenoid cystic carcinoma and 2 cases were mucoepidermoid carcinoma. In remaining 6 cases, 3 cases were traumatic transection of bronchus and 3 cases were strictures due to endobronchial inflammation and infection. All the patients presented with recurrent respiratory symptoms like cough, breathlesness and hemoptysis. All the patients preoperatively underwent routine blood investigations, chest radiograph,CT chest with 3 ’D’ reconstruction with virtual bronchoscopy followed by conventional fibreoptic bronchoscopy. In all the cases during surgey interrupted 4-0 delayed absorbable sutures were used with knots tied outside.
RESULTS: The results of our study were good in all cases. There were no cases of early or delayed bronchial dehiscence.
CONCLUSION: Bronchial sleeve resection is a highly demanding technique to preserve the lung. This procedure is more useful in traumatic transection of bronchus, bronchial strictures due to infection and inflammation and endobronchial tumors.
CLINICAL IMPLICATIONS: Sleeve resection is an excellent option to conserve the lung tissue in tracheobronchial surgery.
DISCLOSURE: Rajan Santosham, None.