Fatmir Caushi*

Department of Clinical Case Report, Albania

*Corresponding Author: Fatmir Caushi, Department of Clinical Case Report, Albania.

Received: May 20, 2024; Published: August 29, 2024

Abstract

Sleeve resection was first introduced in 1947 by Prince-Thomas. Allison in 1959 reported first sleeve lobectomy with pulmonary artery construction. With this technique is removed a lung tumor in a lobe of the lung and a part of the main bronchus. The ends of the bronchus are rejoined and any remaining lobes are reattached to the bronchus. Sleeve lobectomy was considered inferior to pneumonectomy, but work by Ferguson., et al. and Deslauriers., et al. showed that sleeve lobectomy has better outcome and lower morbidity and mortality as compared to pneumonectomy. Sleeve lobectomy for lung cancer is an established technique and has been widely used with safety. We present 5 cases to discuss the surgical strategy for sleeve resection of the central airway.

Case Series: In the last years we have performed with very good results five bronchial sleeve resections and two semi sleeve bronchial resections for lung cancer with histopathologic diagnosis squamous carcinoma, typical carcinoid with excellent results without any complication. The mean hospital day after surgery was 6 days and all the patients left the hospital in very good conditions.

Case 1: Patient 64 years old where a Sleeve Lobectomy of Right Upper Lobe was performed for Epidermoid Carcinoma in the Entrance of Bronchus of the Right Upper Lobe.

Case 2: Patient 67 years old where a Sleeve Resection of the Right Upper Lobe was performed for Epidermoid Carcinoma in the Entrance of Bronchus the Right Upper Lobe and COPD with FEV1 62%.

Case 3: Patient 61 years old where a Semi Sleeve Resection of the Left Upper Lobe was performed for Epidermoid Carcinoma in the Bronchus of the Left Upper Lobe.

Case 4: Patient 56 years old where a Semi Sleeve Resection of the Right Lower Lobe was performed for Epidermoid Carcinoma in the Bronchus of the Right Lower Lobe after 3 cycles of Neoadjuvant Chemotherapy.

Case 5: Patient 35 years old where a Sleeve Resection of the Left Upper Lobe was performed for Carcinoid in the Entrance of Bronchus of the Left Upper Lobe.

Keywords: Sleeve Resection; Lobe; Lung Cancer; Bronchus

References

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Citation

Citation: Fatmir Caushi. “The Role of Sleeve Bronchial Resection in the Treatment of Lung Cancer".Acta Scientific Clinical Case Reports 5.9 (2024): 42-49.

Copyright

Copyright: © 2024 Fatmir Caushi This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.