Atypical resections of the lung: Bronchoplasties, sleeve resections, and segmentectomies—Their evolution and present status

Reconstruction of the Pulmonary Artery

“…7 Previous concern was mainly related to technical difficulties, intraoperative and postoperative complications, lack of longterm survival, and impact on cardiopulmonary function. 8,9 The series of 37 PA sleeve resections published by Vogt-Moykopf in 1986 10 demonstrated that the operation was feasible with acceptable complications and good long-term survival; however, it was not until very recently that lobectomy associated with resection and reconstruction of the PA, associated or not to a sleeve resection of the bronchus, has been demonstrated to be an advantageous alternative to pneumonectomy. The concern about an increased complication rate has been proven to be excessive, and, in our experience, PA reconstruction techniques can be performed safely and effectively with the correct indications and technique.…”

Combined Pulmonary Artery and Bronchial Sleeve Resection

“…T he basic technique and the principles of bronchial and pulmonary artery (PA) reconstruction were established in the late 1940s and early 1950s. [1][2][3] Only recently, however, has interest in these techniques grown with the publication of extensive reports on technical variations, pitfalls, and complications. 4,5 After 40 years of alternating enthusiasm and doubt, these procedures remain technically demanding; however, they now have a definite role in the management of lung cancer.…”