ArticleEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2018
Reimplantation of the upper lobe bronchus after lower sleeve lobectomy or bilobectomy: long-term results.
Article in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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11 citing papers in PubMed, 19 citations in OpenAlex.
- N1-positive non-small cell lung cancer: surgeons' perspective before undertaking a major resection.Indian journal of thoracic and cardiovascular surgery · 2024Review
- The long-term oncologic outcomes of robot-assisted bronchial single sleeve lobectomy for 104 consecutive patients with centrally located non-small cell lung cancer.Translational lung cancer research · 2022Article
- Clinical and bronchoscopic aspects of bronchial healing after sleeve resection for lung cancer: a multivariate analysis on 541 cases.Journal of thoracic disease · 2022Article
- Extended sleeve-lobectomy for centrally located locally advanced non-small cell lung cancer is a feasible approach to avoid pneumonectomy.Journal of thoracic disease · 2020Article
- Pushing the limits in order to avoid pneumonectomy.Journal of thoracic disease · 2019Article
- The advantage of sleeve lobectomy over pneumonectomy.Journal of thoracic disease · 2019Article
- Upper lobe preservation is not a challenge.Journal of thoracic disease · 2019Article
- Is pneumonectomy still necessary?Journal of thoracic disease · 2018Article
- Editorial comment on "Reimplantation of the upper lobe bronchus after lower sleeve lobectomy or bilobectomy: long-term results" by MauriziJournal of thoracic disease · 2018Article
- Upper lobe preservation in the treatment of centrally located NSCLC: one more challenge in lung-sparing surgery?Journal of thoracic disease · 2018Article
- Surgical Techniques of Y-Sleeve Lobectomy in Patients With Primary Lung Cancer.In vivo (Athens, Greece)Article
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10 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesThe advantages of a bronchial sleeve resection are well established. A clear majority of reported cases are of upper lobe sleeve resection. Reimplantation of the upper lobe bronchus after a lower sleeve lobectomy or bilobectomy (the so-called Y-sleeve resection) is infrequent. Related technical peculiarities are the main issues. We present our experience and results in this setting.
methodsBetween 1989 and 2015, we performed 28 Y-sleeve resections of the left lower lobe (n = 18) or right middle and lower lobes (n = 10). The lung-sparing reconstructive operation was performed for non-small-cell lung cancer in 23 cases, for bronchial carcinoid tumour in 4 cases and for a cystic adenoid carcinoma in 1 case. Anastomotic reconstruction was performed by interrupted 4-0 absorbable sutures (monofilament material).
resultsAll the resections were complete (R0). Postoperative mortality was 3.6%. The rate of major complications was 10.7% (1 myocardial infarction, 1 anastomotic stenosis requiring dilatation and 1 anastomotic fistula). Among the 23 patients with non-small-cell lung cancer (18 men and 5 women; mean age 58 ± 12 years), 8 were Stage I, 9 were Stage II and 6 were Stage IIIa. At a mean follow-up of 46 months, the recurrence rate was 32%. There were 2 loco-regional recurrences. No endobronchial or perianastomotic recurrence occurred. The 3- and 5-year overall and disease-free survival rates of patients with non-small-cell lung cancer were 76.3% and 55.1% and 68.7% and 62.9%, respectively.
conclusionsA Y-sleeve resection with reimplantation of the upper load bronchus is a technically feasible and oncologically adequate operation.
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